Author Question: A client reports to the primary health care facility with complaints of chest pain. After the ... (Read 62 times)

dejastew · **on:** Jul 22, 2018

A client reports to the primary health care facility with complaints of chest pain. After the investigations and initial treatment, the client anxiously inquires if he had a heart attack. What should be the nurse's reply?

A) The physician wants to monitor you and control your pain.
B) Yes, you had a heart attack; this is why you are here with us.
C) Yes, you had a heart attack, but the damage is very minimal.
D) No; we can assure you that you will not have a heart attack.

Question 2

A client has had a cylinder cast applied to her tibia after suffering a fracture during a soccer game. What is the primary purpose of a cast?

A) To maintain constant tension on injured bones to promote healing
B) To temporarily reduce the weight-bearing ability of the injured limb
C) To preserve the neurovascular function of the injured limb
D) To immobilize injured bones to facilitate reunion

bimper21 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
The nurse should give true information to the client. Stating that the physician wants to monitor the client and control his pain is true information. The nurse telling the client that he had a heart attack may increase his anxiety. Assuring the client that he will never have a heart attack is also an inappropriate statement because no one can ensure against a disease condition.

Answer to Question 2

D
Feedback:
The purpose of the cast is to immobilize the injured structure. Casts do not provide tension. Maintaining neurovascular function is imperative when a client has a cast in place, but this is not the purpose of the cast itself. Similarly, reduction of weight-bearing undoubtedly occurs, but this is not the central purpose of a cast.