Nokea
The nurse is preparing a client for a scheduled percutaneous coronary intervention (PCI). Which statement made by the client should be reported to the primary healthcare provider (PHCP)
- A. I took my metformin this morning.
- B. I get anxious when I am in closed spaces.
- C. I am allergic to shellfish.
- D. I may feel a warm sensation during the procedure.
Correct Answer: C
Rationale: Shellfish allergy may indicate iodine sensitivity, relevant for contrast dye used in PCI, requiring PHCP notification.
You may also like to solve these questions
Which of the following statements by the client with atrial fibrillation would require a follow-up? Select all that apply.
- A. I have an increased risk for a stroke.
- B. I should weigh myself daily at the same time.
- C. I may be prescribed medications such as amiodarone.
- D. I should wear a mask when I am in public.
- E. I should seek medical care if I develop shortness of breath.
Correct Answer: B,D
Rationale: Atrial fibrillation increases stroke risk due to clot formation; no follow-up needed. B: Incorrect - Daily weighing is more relevant for heart failure, not atrial fibrillation; requires clarification. C: Correct - Amiodarone is a common medication for atrial fibrillation; no follow-up needed. D: Incorrect - Wearing a mask in public is not related to atrial fibrillation management; requires clarification. E: Correct - Shortness of breath could indicate complications; no follow-up needed.
The nurse is caring for a client following a femoral angiography. When developing this client's plan of care, the nurse plans to
- A. encourage the client to ambulate within one hour following this procedure.
- B. discontinue prescribed intravenous fluids immediately after the procedure
- C. assess kidney function via lab testing on the day following the procedure.
- D. maintain nothing by mouth (NPO) status for 4 hours following the procedure.
Correct Answer: C
Rationale: Femoral angiography involves contrast dye, which can affect kidney function. Monitoring renal function via lab tests (e.g., creatinine) post-procedure is essential to detect contrast-induced nephropathy.
The nurse is assisting a physician in performing a bronchoscopy. The nurse suspects the client is experiencing a vasovagal response as evidence by the client's
- A. hypertension.
- B. bronchodilation.
- C. increase in heart rate (HR).
- D. decrease in heart rate (HR).
Correct Answer: D
Rationale: A vasovagal response causes bradycardia due to vagal nerve stimulation during procedures like bronchoscopy.
The nurse cares for a client with suspected congestive heart failure (CHF). Which of the following laboratory tests would the nurse expect the primary health care provider (PHCP) to prescribe to confirm the diagnosis?
- A. Basic metabolic panel (BMP)
- B. B-type natriuretic peptide (BNP)
- C. Complete Metabolic Profile (CMP)
- D. C-Reactive Protein (CRP)
Correct Answer: B
Rationale: BNP is a specific marker for heart failure, elevated due to ventricular strain.
The nurse is caring for a client receiving a continuous infusion of diltiazem who has the below tracing on the electrocardiogram (ECG). On assessment, the client has irregular peripheral pulses, an S3 heart sound, and 2+ pedal edema. The nurse should plan to take which priority action? See the image below.
- A. Assess the client for chest pain
- B. Perform a 12-lead electrocardiogram
- C. Stop the infusion
- D. Obtain an immediate troponin level
Correct Answer: C
Rationale: S3 and edema suggest heart failure, possibly exacerbated by diltiazem's negative inotropic effect. Stopping the infusion is the priority.