Which of the following is the priority nursing intervention for a client who is receiving adenosine (Adenocard) for supraventricular tachycardia (SVT)?

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Question 1 of 5

Which of the following is the priority nursing intervention for a client who is receiving adenosine (Adenocard) for supraventricular tachycardia (SVT)?

Correct Answer: C

Rationale: Adenosine (C) requires a patent IV in a large vein (antecubital) due to its short half-life, making it the priority. Others (A, B, D) are secondary.

Question 2 of 5

Which are the major lymphatic organs?

Correct Answer: B

Rationale: Major lymphatic organs include the thymus (T-cell maturation), spleen (lymphocyte storage and blood filtering), and tonsils (immune surveillance). The liver and pituitary are not lymphatic; tonsils are often included as secondary lymphoid tissue.

Question 3 of 5

In order to enhance a client's response to medication for chest pain from acute angina, the nurse should emphasize?

Correct Answer: B

Rationale: Relaxation techniques reduce stress and oxygen demand on the heart, enhancing the effectiveness of angina medications (e.g., nitroglycerin). Other options help overall health but are less directly tied to acute pain relief.

Question 4 of 5

When caring for a patient who has intermittent claudication, the cardiac-vascular nurse advises the patient to:

Correct Answer: D

Rationale: Intermittent claudication (leg pain with exertion due to arterial insufficiency) improves with supervised walking, which promotes collateral circulation. Elevation (B) is for venous issues, stockings (A) help veins, and avoiding exercise (C) worsens the condition.

Question 5 of 5

The cardiac-vascular nurse reviews risk factor reduction with a patient who is newly diagnosed with a myocardial infarction. The patient states, 'I don’t know why you’re making such a big deal about this stuff. I feel fine, and the doctor said that my heart attack was small.' The nurse’s most effective action is to:

Correct Answer: A

Rationale: Assessing the patient’s perception with open-ended questions uncovers denial or misunderstanding, enabling tailored education. B, C, and D assume understanding and may not address the patient’s minimization.

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