A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the following assessments is most critical before the procedure? A. Intake and output B. Baseline peripheral pulse rates C. Height and weight D. Allergy to iodine or shellfish Correct Answer: D. Allergy to iodine or… Read More »
A 60-year-old male client comes into the emergency department with complaints of crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction. Immediate admission orders include oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2) mg of morphine given intravenously. The nurse… Read More »
When administered a thrombolytic drug to the client experiencing an MI, the nurse explains to him that the purpose of this drug is to: A. Help keep him well hydrated. B. Dissolve clots he may have. C. Prevent kidney failure. D. Treat potential cardiac arrhythmias. Correct Answer:… Read More »
When interpreting an ECG, the nurse would keep in mind which of the following about the P wave? Select all that apply. A. Reflects electrical impulse beginning at the SA node. B. Indicated electrical impulse beginning at the AV node. C. Reflects atrial muscle depolarization. D. Identifies ventricular muscle depolarization. E.… Read More »
A client has driven himself to the ER. He is 50 years old, has a history of hypertension, and informs the nurse that his father died of a heart attack at 60 years of age. The client is presently complaining of indigestion. The nurse connects him to an ECG monitor and begins administering oxygen at… Read More »
The nurse receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following? A. Cancer B. Hypertension C. Liver disease D. Myocardial infarction Correct Answer: D. Myocardial infarction Detection of myoglobin is one diagnostic… Read More »
When teaching a client about propranolol hydrochloride, the nurse should base the information on the knowledge that propranolol hydrochloride: A. Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and Conduction. B. Increases norepinephrine secretion and thus decreases blood pressure and heart rate. C. Is a potent arterial and venous… Read More »
The most important long-term goal for a client with hypertension would be to: A. Learn how to avoid stress. B. Explore a job change or early retirement. C. Make a commitment to long-term therapy. D. Control high blood pressure. Correct Answer: C. Make a commitment to long-term therapy Compliance… Read More »
Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of: A. Cerebrovascular accident B. Liver disease C. Myocardial infarction D. Pulmonary disease Correct Answer:… Read More »
During the previous few months, a 56-year-old woman felt brief twinges of chest pain while working in her garden and has had frequent episodes of indigestion. She comes to the hospital after experiencing severe anterior chest pain while raking leaves. Her evaluation confirms a diagnosis of stable angina pectoris. After stabilization and treatment, the client… Read More »