Nokea
In any acute cardiovascular problem, the essential goal is to
- A. decrease metabolic activity
- B. decrease carbohydrate intake
- C. decrease obesity
- D. increase protein intake
Correct Answer: A
Rationale: Reducing metabolic demand supports recovery.
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When caring for a patient who is recovering from a sudden cardiac death (SCD) event and has no evidence of an acute myocardial infarction (AMI), the nurse will anticipate teaching the patient that
- A. sudden cardiac death events rarely reoccur.
- B. additional diagnostic testing will be required.
- C. long-term anticoagulation therapy will be needed.
- D. limiting physical activity will prevent future SCD events.
Correct Answer: B
Rationale: Step 1: Sudden cardiac death (SCD) indicates a serious underlying heart condition.
Step 2: Absence of acute myocardial infarction (AMI) suggests other causes need investigation.
Step 3: Additional diagnostic testing can identify underlying causes to prevent future events.
Step 4: Teaching the patient about the need for further testing is crucial for proper management.
Summary: Option B is correct as it aligns with the need for comprehensive evaluation post-SCD. Options A, C, and D are incorrect as they do not address the necessity of additional testing for proper management.
The nurse is teaching the client about taking an ACE inhibitor. A typical side effect of an ACE inhibitor explained to the client is what?
- A. Cough
- B. Bradycardia
- C. Hypokalemia
- D. Weight gain
Correct Answer: A
Rationale: The correct answer is A: Cough. ACE inhibitors can cause a dry, persistent cough due to increased levels of bradykinin. This effect is common and important for clients to be aware of. Bradycardia (B) is not a typical side effect of ACE inhibitors. Hypokalemia (C) can occur but is not a direct side effect. Weight gain (D) is not associated with ACE inhibitors. Therefore, A is the correct choice.
Which type of cuff does the nurse choose to ensure an accurate assessment?
- A. Cuff width appropriate for continuous bedside monitoring
- B. Cuff width suitable for assessing BP during position changes
- C. Cuff width appropriate for the diameter of the client's arm
- D. Cuff width greater than the diameter of the client's right arm
Correct Answer: C
Rationale: The correct cuff size ensures accurate blood pressure readings by matching the cuff width to the arm's diameter.
The client is on hydrochlorothiazide and digoxin. What effect can the nurse expect?
- A. Hydrochlorothiazide increases digoxin levels.
- B. Hydrochlorothiazide decreases digoxin levels.
- C. Hydrochlorothiazide decreases potassium, increasing the risk of digoxin toxicity.
- D. Digoxin can increase the effectiveness of hydrochlorothiazide.
Correct Answer: C
Rationale: Step-by-step rationale:
1. Hydrochlorothiazide is a diuretic that can cause hypokalemia.
2. Digoxin toxicity is more likely with low potassium levels.
3. Therefore, hydrochlorothiazide decreasing potassium levels can increase the risk of digoxin toxicity.
Summary:
A: Incorrect. Hydrochlorothiazide does not increase digoxin levels.
B: Incorrect. Hydrochlorothiazide does not decrease digoxin levels.
C: Correct. Hydrochlorothiazide can decrease potassium, increasing digoxin toxicity risk.
D: Incorrect. Digoxin does not increase the effectiveness of hydrochlorothiazide.
At 10:00 am, a patient receives a new order for transesophageal echocardiography (TEE) as soon as possible. Which action will you take first?
- A. Make the patient NPO.
- B. Teach the patient about the procedure.
- C. Attach the patient to a cardiac monitor.
- D. Start an intravenous line.
Correct Answer: A
Rationale: TEE requires fasting to prevent aspiration; making the patient NPO is the first step.