A client with a complex cardiac history is scheduled for transesophageal echocardiography. Which of the following statements, if made by the nurse, is inappropriate?

“The test will provide a detailed profile of the heart’s electrical activity.”

“I will need to start an IV in your arm before the test.”

“Your throat may be a little sore after the exam.”

“You will need to refrain from eating and drinking 6-8 hours before this test.”

Answer and Explanation

The Correct Answer is A

A. "The test will provide a detailed profile of the heart’s electrical activity."

This statement is inappropriate because transesophageal echocardiography (TEE) primarily provides detailed images of the heart's structure, such as the valves and chambers, rather than focusing on the heart's electrical activity. The assessment of electrical activity is typically associated with electrocardiography (ECG or EKG) rather than echocardiography.

B. "I will need to start an IV in your arm before the test."

This statement is appropriate. It is common for medical procedures, including TEE, to require an intravenous (IV) line for administration of medications or fluids during or after the procedure.

C. "Your throat may be a little sore after the exam."

This statement is appropriate. TEE involves inserting a probe through the esophagus, and it is common for patients to experience a sore throat afterward due to the presence of the probe.

D. "You will need to refrain from eating and drinking 6-8 hours before this test."

This statement is appropriate. It is standard practice to ask patients to fast for a specific period before TEE to minimize the risk of complications, such as aspiration, during the procedure.

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Free Nursing Study Resources

Correct Answer is ["0.75"]

Explanation

The nurse needs to calculate the correct dose of atropine for a client who has a prescription for 0.3 mg IV stat. The nurse knows that atropine is a medication that blocks the effects of the parasympathetic nervous system and is used to treat bradycardia, heart block, and some types of poisoning.

To find out how many milliliters of atropine the nurse will administer, the nurse can use the formula:

Dose ordered / Dose available = Volume to administer

Plugging in the values, the nurse gets:

0.3 mg / 0.4 mg per mL = 0.75 mL

Therefore, the nurse will administer 0.75 mL of atropine to the client IV stat.

A. Limit physical activity B. Prevent endocarditis C. Relieve the patient’s symptoms D. Extend survival E. Improve functional status

Correct Answer is ["C","D","E"]

Explanation

A. Limit physical activity

Limiting physical activity is not a primary goal in heart failure care. In fact, promoting appropriate and monitored physical activity is often part of the overall management plan. Exercise, when tailored to the client's condition, can improve functional status and quality of life.

B. Prevent endocarditis

While preventing endocarditis is important for individuals with certain cardiac conditions, it is not a primary goal in the care of heart failure. The focus is typically on optimizing cardiac function and managing heart failure symptoms.

C. Relieve the patient’s symptoms

Managing and relieving symptoms, such as dyspnea, fatigue, and fluid retention, are crucial goals in heart failure care. This includes optimizing medication management and other therapeutic interventions.

D. Extend survival

While heart failure is a chronic condition, the goal is to optimize treatment to improve the client's prognosis and overall survival. This involves the use of evidence-based therapies to address the underlying causes and contributing factors.

E. Improve functional status

Enhancing the client's ability to perform activities of daily living and improving functional capacity are important goals. This can involve a combination of medications, lifestyle modifications, and rehabilitation.

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A client with a complex cardiac history is scheduled for transesophageal echocardiography. Which of the following statements, if made by the nurse, is inappropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is ordered to receive atropine 0.3 mg IV stat. Atropine 0.4 mg per mL is available. How many milliliters will the nurse administer?

Correct Answer is ["0.75"]

Explanation

The nurse is planning the care of a client with heart failure. The nurse should identify what overall goals for the client’s care? (SELECT ALL THAT APPLY)

Correct Answer is ["C","D","E"]

Explanation

The nurse is teaching a client about some of the health consequences of uncontrolled hypertension. What health problems should the nurse describe. (SELECT ALL THAT APPLY)

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