The nurse is providing care to a female client who is diagnosed with coronary artery disease. The client states to the nurse, "I don't know how this happened." Which response by the nurse is the most appropriate?- Skildor

Question 1 of 5

The nurse is providing care to a female client who is diagnosed with coronary artery disease. The client states to the nurse, "I don't know how this happened." Which response by the nurse is the most appropriate?

A. "Women who take oral contraceptives are more likely to develop this disease." B. "Women who have children later in life often develop this disease" C. "Women with a history of sexually transmitted infections are more likely to develop this disease." D. "Women who conceive through the use of in-vitro fertilization are more likely to develop this disease."

Correct Answer: A

Rationale: Option A is the most appropriate response by the nurse because it provides accurate information related to the client's concern about developing coronary artery disease. Studies have shown that women who take oral contraceptives have an increased risk of developing cardiovascular issues, including coronary artery disease. By providing this information, the nurse addresses the client's statement and educates her about a potential risk factor for the disease. This empowers the client with knowledge that can help her understand the possible reasons behind her diagnosis and make informed decisions about her health moving forward.

Question 2 of 5

Which statements are correct regarding the various layers of the heart? Select all that apply.

A. The endocardium covers the entire heart and great vessels. B. The endocardium is the muscular layer of the heart that contracts during each heartbeat. C. The outermost layer of the heart is the epicardium. D. The myocardium consists of myofibril cells

Correct Answer: C

Rationale: The epicardium is the outermost layer of the heart and is also known as the visceral layer of the serous pericardium. It is a thin layer that covers the surface of the heart and is composed of connective tissue and fat. The epicardium helps to protect the heart and provides a smooth outer surface for the heart to move within the pericardial cavity.

Question 3 of 5

The nurse is providing care to a female client who is diagnosed with coronary artery disease. The client states to the nurse, "I don't know how this happened." Which response by the nurse is the most appropriate?

A. "Women who take oral contraceptives are more likely to develop this disease." B. "Women who have children later in life often develop this disease" C. "Women with a history of sexually transmitted infections are more likely to develop this disease." D. "Women who conceive through the use of in-vitro fertilization are more likely to develop this disease."

Correct Answer: A

Rationale: Option A is the most appropriate response by the nurse because it provides accurate information related to the client's concern about developing coronary artery disease. Studies have shown that women who take oral contraceptives have an increased risk of developing cardiovascular issues, including coronary artery disease. By providing this information, the nurse addresses the client's statement and educates her about a potential risk factor for the disease. This empowers the client with knowledge that can help her understand the possible reasons behind her diagnosis and make informed decisions about her health moving forward.

Question 4 of 5

The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience?

A. Ask the client to tell the nurse what he knows about caring for the colostomy. B. Make sure the client's spouse is present before the teaching session begins. C. Start from the beginning and proceed through all steps required to perform colostomy care. D. Break the information into small sessions to enhance learning.

Correct Answer: D

Rationale: Breaking the information into small sessions to enhance learning is the most effective approach when organizing the teaching experience for a client with a new permanent colostomy. This allows for better retention of information as the client can focus on a few key points at a time and then progressively build upon that knowledge. By breaking the information into smaller sessions, the nurse can ensure that the client fully understands each aspect of colostomy care before moving on to the next topic. This method promotes better understanding, leads to improved compliance with care instructions, and ultimately contributes to better outcomes for the client.

Question 5 of 5

The nurse is caring for a client with disseminated intravascular coagulation (DIC). Which should the nurse identify as a priority intervention for this client?

A. Frequent ambulation B. Maintenance of skin integrity C. Preparation for radiograph procedures D. Restricting fluids

Correct Answer: B

Rationale: In disseminated intravascular coagulation (DIC), the client experiences widespread clotting throughout the body's small blood vessels, leading to organ damage and bleeding. Maintaining skin integrity is a priority intervention because DIC can cause hemorrhage and increased risk of skin breakdown due to impaired blood circulation. Preventing pressure ulcers and promoting skin health in a client with DIC is crucial to prevent further complications. Frequent ambulation may not be safe for a client with DIC due to the risk of bleeding from compromised blood vessels. Preparation for radiograph procedures and fluid restriction may be necessary interventions depending on the client's condition, but they are not the priority in the immediate care of a client with DIC.

Fundamental Concepts and Skills for Nursing 6th Edition Test Bank

Skildor

ATI RN

ATI RN

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