1. 1. Question
The nurse should visit which of the following clients first?
o A. The client with diabetes with a blood glucose of95mg/dL
o B. The client with hypertension being maintained onLisinopril
o C. The client with chest pain and a history ofangina
...
Correct Answer: C. The client with chest pain and a
history of angina
The client with chest pain should be seen first because this could
indicate a myocardial infarction. Despite many advances in
treatment, acute MI still carries a mortality rate of 5-30%; the
majority of deaths occur prior to arrival to the hospital. In
addition, within the first year after an MI, there is an additional
mortality rate of 5% to 12%. The overall prognosis depends on
the extent of heart muscle damage and ejection fraction.
o Option A: The client in answer A has blood glucose
within normal limits. The diagnosis of T1DM is usually
through a characteristic history supported by elevated
serum glucose levels (fasting glucose greater than 126
mg/dL, random glucose over 200 mg/dL, or
hemoglobin A1C (HbA1c exceeding 6.5%) with or
without antibodies to glutamic acid decarboxylase
(GAD) and insulin.
o Option B: The client in this option is maintained on
blood pressure medication. Pharmacological therapy
o D. The client with Raynaud’s disease
, NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
consists of angiotensin-converting enzyme inhibitors
(ACEi), angiotensin receptor blockers (ARBs), diuretics
(usually thiazides), calcium channel blockers (CCBs),
and beta-blockers (BBs), which are instituted taking
into account age, race, and comorbidities such as
presence of renal dysfunction, LV dysfunction, heart
failure, and cerebrovascular disease. JNC-8, ACC, and
ESC/ ESH have their separate recommendations for
pharmacological management.
o Option D: The client in answer D is in no distress. In
Raynaud phenomenon, blood-flow restriction occurs
during cold temperatures and emotional stress.
Specifically, in Raynaud phenomenon, there is
vasoconstriction of the digital arteries and cutaneous
arterioles.
• 2. Question
A client with cystic fibrosis is taking pancreatic enzymes.
Thenurse should administer this medication:
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller THEEXCELLENCELIBRARY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
