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NHS-FPX4000 DEVELOPING A HEALTH CARE PERSPECTIVE EXAM Q & A WITH RATIONALES
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NHS-FPX4000 DEVELOPING A HEALTH CARE PERSPECTIVE EXAM Q & A WITH RATIONALES
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NHS-FPX4000Developing a Health
Care Perspective
Q & A w/ Rationales
2024
,1. A 45-year-old male patient with a history of
hypertension and diabetes presents to the emergency
department with chest pain, dyspnea, and diaphoresis. He is
diagnosed with an acute myocardial infarction (AMI) and
is given aspirin, nitroglycerin, morphine, and oxygen. He is
also scheduled for an urgent coronary angioplasty. As a
nurse, what is the most important intervention to monitor
his condition and prevent complications?
A) Assess his vital signs every 15 minutes
B) Administer heparin infusion as ordered
C) Monitor his cardiac rhythm continuously
D) Educate him about lifestyle modifications
Answer: C) Monitor his cardiac rhythm continuously
Rationale: Monitoring the cardiac rhythm continuously is
the most important intervention to detect and treat any
arrhythmias that may occur after an AMI, which can be
life-threatening. Assessing vital signs, administering
heparin, and educating the patient are also important, but
not as urgent as monitoring the cardiac rhythm.
2. A 65-year-old female patient with a history of chronic
obstructive pulmonary disease (COPD) and osteoporosis is
admitted to the medical-surgical unit with pneumonia. She
has a productive cough, fever, and tachypnea. She is
receiving antibiotics, bronchodilators, and corticosteroids.
As a nurse, what is the most appropriate nursing diagnosis
for this patient?
A) Impaired gas exchange related to decreased lung
function
, B) Ineffective airway clearance related to increased
secretions
C) Risk for infection related to compromised immune
system
D) Activity intolerance related to decreased oxygenation
Answer: B) Ineffective airway clearance related to
increased secretions
Rationale: Ineffective airway clearance is the most
appropriate nursing diagnosis for this patient, as she has a
productive cough and pneumonia, which indicate increased
secretions in the airways that impair breathing. Impaired
gas exchange, risk for infection, and activity intolerance are
also relevant, but not as specific as ineffective airway
clearance.
3. A 25-year-old female patient with a history of asthma
and allergies is seen in the clinic for a routine check-up.
She reports that she has been using her albuterol inhaler
more frequently in the past week due to shortness of breath
and wheezing. She also says that she has been experiencing
headaches, insomnia, and palpitations. As a nurse, what is
the best action to take in this situation?
A) Advise her to reduce her albuterol use and try
alternative therapies
B) Refer her to a psychiatrist for evaluation of anxiety and
depression
C) Suggest her to use a spacer device when using her
inhaler
D) Review her asthma action plan and adjust her
medication regimen
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