Author Question: A client, admitted with irregular chest pain and shortness of breath, complains of fatigue with ... (Read 118 times)

madam-professor · **on:** Jun 25, 2018

A client, admitted with irregular chest pain and shortness of breath, complains of fatigue with activity. The client's body mass index (BMI) is 30.5. Which is the priority nursing diagnosis for this client?

A) Ineffective Coping
B) Fear
C) Imbalanced Nutrition: More than Body Requirements.
D) Fluid Volume Deficit

Question 2

The nurse is preparing preoperative teaching for an older adult client scheduled for a ventricular assist device (VAD). Which should the nurse include in these instructions?

A) Need to stay on bed rest for a week or more
B) Cardiac pain postoperatively is to be expected.
C) Risk for postoperative infection
D) Expect to be ambulating the evening of surgery.

1_Step_At_ATime · **Reply #1 on:** Jun 25, 2018

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.