A client with a myocardial infarction is prescribed nitroglycerin. What instruction should the nurse include?- Skildor

Question 1 of 5

A client with a myocardial infarction is prescribed nitroglycerin. What instruction should the nurse include?

A. Take the medication only when experiencing severe chest pain. B. Store the medication in a dark container to protect it from light. C. Take the medication before engaging in physical activity that may trigger chest pain. D. Limit nitroglycerin use to no more than three doses in 15 minutes.

Correct Answer: D

Rationale: Clients prescribed nitroglycerin should be instructed to limit its use to no more than three doses in 15 minutes. This prevents excessive use, which can lead to severe hypotension and other complications.

Question 2 of 5

The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?

A. Pale skin B. Increased heart rate C. Shortness of breath D. Fatigue

Correct Answer: C

Rationale: Shortness of breath is a sign that the anemia is severe enough to impair oxygenation. Immediate intervention is needed to address this potentially life-threatening complication.

Question 3 of 5

A client with 42-week gestation refuses induction. What is the most important action the nurse should take?

A. Discuss alternative ways to support the client's birth plan. B. Explain the risks of induction after 42 weeks. C. Ask the healthcare provider to discuss the situation with the client. D. Discuss the character of labor with oxytocin vs. natural labor.

Correct Answer: A

Rationale: Supporting the client's birth plan helps reduce anxiety while ensuring informed decision-making.

Question 4 of 5

A client with heart failure is prescribed spironolactone. What is the nurse's priority intervention?

A. Monitor the client's potassium levels closely. B. Assess for signs of hyperkalemia. C. Instruct the client to increase intake of potassium-rich foods. D. Increase the client's fluid intake to prevent dehydration.

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic, so the nurse should closely monitor for signs of hyperkalemia, which can lead to cardiac arrhythmias.

Question 5 of 5

A client with a myocardial infarction is prescribed nitroglycerin. What instruction should the nurse include?

A. Take the medication only when experiencing severe chest pain. B. Store the medication in a dark container to protect it from light. C. Take the medication before engaging in physical activity that may trigger chest pain. D. Limit nitroglycerin use to no more than three doses in 15 minutes.

Correct Answer: D

Rationale: Clients prescribed nitroglycerin should be instructed to limit its use to no more than three doses in 15 minutes. This prevents excessive use, which can lead to severe hypotension and other complications.

HESI RN Exit Exam Capstone

Skildor

HESI RN

HESI RN

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