Answer to Question 1
Answer: C
The client with a BMI of 30.5 is obese. In addition, the client has irregular chest pain and shortness of breath, and complains of fatigue with activity. The priority nursing diagnosis for the client at this time would be Imbalanced Nutrition: More than Body Requirements. Fear and Ineffective Coping would be applicable to the client diagnosed with an acute myocardial infarction. There is no evidence that the client has Fluid Volume Deficit.
Answer to Question 2
Answer: C
Clients with VAD are at considerable risk for infection; strict aseptic technique is used with all invasive catheters and dressing changes. The client may or may not be on bed rest for a week or more after the surgery. The client, however, will most likely not be ambulating the evening of the surgery. Cardiac pain postoperatively is not to be expected and could indicate a myocardial infarction.