Author Question: A client experiencing hyperventilation, diaphoresis, and difficulty breathing with chest tightness ... (Read 41 times)

mpobi80 · **on:** Jul 23, 2018

A client experiencing hyperventilation, diaphoresis, and difficulty breathing with chest tightness was diagnosed with panic attacks after a negative cardiac workup. What action should the nurse implement first?

1. Perform a 12-lead EKG.
2. Administer oxygen via nasal cannula at 24 L/min.
3. Move the client from the waiting area to a private ED cubicle.
4. Prepare to administer lorazepam (Ativan).

Question 2

Since long-term use of phenobarbital can lead to osteomalacia, a client is instructed to consume foods high in vitamin D, vitamin K, and folic acid. Which statement indicates the client understands these instructions?

1. I need to eat more broiled poultry, turnip greens, and nuts.
2. I need to eat more fish, green vegetables, and milk.
3. I need to eat more fruits, beef, and milk.
4. I need to eat more dried fruits, cantaloupe, and dairy products.

srodz · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: A 12-lead EKG most likely was performed to rule out MI.
Rationale 2: Oxygen may be administered until the threat of MI has been disproved, but this will not be done first.
Rationale 3: This is the most important intervention. The client needs to be removed from a busy area to help decrease the anxiety with the attack.
Rationale 4: Ativan is a good choice of medications, but it will take at least 1015 minutes to calm the symptoms.
Global Rationale: Moving the client from the waiting area to a private ED cubicle is the most important intervention. The client needs to be removed from a busy area to help decrease the anxiety with the attack. A 12-lead EKG most likely was performed to rule out MI. Oxygen may be administered until the threat of MI has been disproved, but this will not be done first. Ativan is a good choice of medications, but it will take at least 1015 minutes to calm the symptoms.

Answer to Question 2

Correct Answer: 2
Rationale 1: Eating fish, green vegetables, and milk would be the best answer, because those foods provide vitamin D, vitamin K, and folic acid. Fish, cereals, and milk are high in vitamin D. Vitamin K is high in green vegetables, green tea, milk, and yogurt. Folic acid is high in vegetables, fruits, and organ meats like liver.
Rationale 2: Eating fish, green vegetables, and milk would be the best answer, because those foods provide vitamin D, vitamin K, and folic acid. Fish, cereals, and milk are high in vitamin D. Vitamin K is high in green vegetables, green tea, milk, and yogurt. Folic acid is high in vegetables, fruits, and organ meats like liver.
Rationale 3: Eating fish, green vegetables, and milk would be the best answer, because those foods provide vitamin D, vitamin K, and folic acid. Fish, cereals, and milk are high in vitamin D. Vitamin K is high in green vegetables, green tea, milk, and yogurt. Folic acid is high in vegetables, fruits, and organ meats like liver.
Rationale 4: Eating fish, green vegetables, and milk would be the best answer, because those foods provide vitamin D, vitamin K, and folic acid. Fish, cereals, and milk are high in vitamin D. Vitamin K is high in green vegetables, green tea, milk, and yogurt. Folic acid is high in vegetables, fruits, and organ meats like liver.
Global Rationale: Eating fish, green vegetables, and milk would be the best answer, because those foods provide vitamin D, vitamin K, and folic acid. Fish, cereals, and milk are high in vitamin D. Vitamin K is high in green vegetables, green tea, milk, and yogurt. Folic acid is high in vegetables, fruits, and organ meats like liver.