Which of the following treatment is a suitable surgical intervention for a client with unstable angina?

Correct Answer: D

Rationale: Step 1: Unstable angina indicates a serious condition requiring immediate intervention. Step 2: Percutaneous transluminal coronary angioplasty (PTCA) is a surgical procedure used to open blocked coronary arteries. Step 3: PTCA helps improve blood flow to the heart, reducing the risk of a heart attack. Step 4: Cardiac catheterization (choice A) is a diagnostic procedure, not a direct treatment. Step 5: Echocardiogram (choice B) is an imaging test, not a surgical intervention. Step 6: Nitroglycerin (choice C) is a medication used for symptom relief, not a surgical solution.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the client's pain while also addressing the fact that test results are negative, validating their experience. This response shows empathy and understanding. B is incorrect as it dismisses the client's pain, potentially causing them to feel unheard. C is incorrect as it suggests avoiding the issue rather than addressing it. D is not the best response as it does not acknowledge the negative test results, which may confuse the client.

Correct Answer: D

Rationale: The correct answer is D because rearranging the environment to activate the child is not a recommended therapeutic approach for caring for an autistic child. Autistic children may struggle with changes in their environment, so rearranging it could lead to increased stress and anxiety, rather than therapeutic benefits. A: Engaging in diversionary activities when acting-out can help redirect behavior and provide a positive outlet for emotions. B: Providing an atmosphere of acceptance fosters a sense of security and belonging for the child. C: Providing safety measures is crucial to ensure the well-being of the child and prevent any harm. In summary, D is incorrect as it could potentially disrupt the child's sense of stability, while A, B, and C are all important aspects of the therapeutic approach in caring for an autistic child.

Correct Answer: C

Rationale: The correct answer is C: Remains in a safe and secure environment. This is the primary nursing intervention because clients with moderate stage dementia may have impaired judgment and memory, making them vulnerable to accidents or wandering. Keeping them in a safe and secure environment helps prevent injuries or getting lost. Choice A is important but not the primary intervention as safety comes first. Choice B, reminiscing, is beneficial for cognitive stimulation but not a priority for safety. Choice D, self-care, may be challenging for clients with dementia, so ensuring safety takes precedence.

Correct Answer: C

Rationale: The correct answer is C: Claustrophobia. Claustrophobia is an intense fear of confined spaces, such as elevators. In this case, the individual's fear of riding an elevator and the belief of dying inside indicate a fear of being trapped in a small space, which aligns with the symptoms of claustrophobia. Agoraphobia (A) is a fear of open or public spaces, social phobia (B) is a fear of social situations, and xenophobia (D) is a fear of strangers or foreigners, none of which match the symptoms described in the scenario.