Correct Answer: C

Rationale: The correct answer is C because it acknowledges the client's concern about the already damaged heart while also highlighting the benefits of cardiac rehabilitation. By stating that cardiac rehabilitation cannot undo the damage but can help the client safely return to previous activity levels, the nurse addresses the client's worry and emphasizes the importance of the program in improving the client's quality of life.


Choice A is incorrect as it does not directly address the client's concern about the heart damage, focusing instead on the benefits of diet and exercise.
Choice B is incorrect as it minimizes the client's feelings and does not provide assurance about the benefits of cardiac rehabilitation.
Choice D is incorrect as it deflects responsibility to the doctor without addressing the client's concerns or providing information about cardiac rehabilitation.

Correct Answer: C

Rationale: The correct answer is C: If you experience chest pain, call your physician immediately. This is crucial because sumatriptan can rarely cause serious cardiovascular side effects, such as chest pain. Instructing the client to contact their physician immediately if they experience chest pain ensures prompt medical attention.


Choice A is incorrect because repeating the dose in 1 hour is not recommended due to the risk of medication overuse.
Choice B is incorrect as sumatriptan tablets should not be chewed, as it may affect the absorption and efficacy of the medication.
Choice D is incorrect as sumatriptan is not meant for daily preventive use but rather for acute migraine treatment.

Correct Answer: D

Rationale: The correct answer is D, "The AP has the knowledge and skill to perform the task." When delegating tasks, it is crucial for the nurse to ensure that the assistive personnel (AP) possess the necessary knowledge and skills to carry out the assigned task safely and effectively. This aligns with the principle of delegation, as it is the nurse's responsibility to delegate tasks that are within the scope of practice and competency of the AP.

Choices A, B, and C are incorrect as they do not directly address the fundamental aspect of delegation, which is the competence of the individual receiving the delegated task.
Choice A focuses solely on independence, choice B on prioritization, and choice C on client rapport, none of which are as critical as ensuring the AP's knowledge and skill level for the task at hand.

Correct Answer: B,C,D

Rationale: The correct answer includes components that are essential for nurses' involvement in the disaster plan. Nurses should be included in planning comprehensive practice drills (
B) to ensure their readiness in emergency situations. Identification of resources (
C) is crucial for nurses to effectively provide care during a disaster. An internal and external communication plan (
D) is essential for coordinating efforts and disseminating information.

Choices A and E are incorrect because nurses should not be assigned duties outside their scope of practice or discharge surgical clients in a disaster situation.

Correct Answer: C

Rationale: The correct answer is C: Sudden severe headache. In a hemorrhagic stroke from a ruptured cerebral aneurysm, sudden severe headache is a common manifestation due to the bleeding in the brain. This headache is often described as the "worst headache of my life." This is because the bleeding irritates the brain tissues, leading to intense pain. The other options are incorrect because a gradual onset of several hours (
A) is more indicative of an ischemic stroke, maintaining consciousness (
B) is less likely in a hemorrhagic stroke due to increased intracranial pressure, and a history of neurologic deficits lasting less than 1 hour (
D) is suggestive of a transient ischemic attack (TI
A) rather than a hemorrhagic stroke.