A client with suspected angina pectoris is scheduled for a coronary angiography. The client asks the nurse about the purpose of the test. How should the nurse respond?
"Coronary angiography will measure the levels of cardiac biomarkers in your blood."
"It is a stress test that evaluates your heart's response to increased demand."
"The test involves injecting dye into your coronary arteries to visualize any blockages."
"Coronary angiography will assess your heart's function using sound waves."
The Correct Answer is C
A) This choice is incorrect because measuring the levels of cardiac biomarkers in the blood is not the purpose of coronary angiography. Cardiac biomarkers are measured through blood tests to diagnose conditions like myocardial infarction (MI).
B) This choice is incorrect because a stress test evaluates the heart's response to increased demand and is different from coronary angiography.
C) This choice is correct. Coronary angiography is an invasive procedure that involves injecting a contrast dye into the coronary arteries. The dye allows visualization of the coronary arteries and identifies any blockages or narrowing that may be causing angina or other cardiac symptoms.
D) This choice is incorrect because assessing the heart's function using sound waves is characteristic of an echocardiogram, not coronary angiography.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because furosemide is a loop diuretic used to treat fluid retention and edema in clients with congestive heart failure (CHF), but it does not directly reduce myocardial oxygen demand.
B) This choice is correct. Metoprolol is a beta-blocker that reduces heart rate and blood pressure, resulting in decreased myocardial oxygen demand. It is often prescribed to clients with an MI and a history of CHF to improve cardiac function and reduce the workload on the heart.
C) This choice is incorrect because aspirin is an antiplatelet medication that prevents further clot formation and is commonly prescribed in clients with acute coronary syndrome, including MI. While it is beneficial in the context of MI management, it does not directly reduce myocardial oxygen demand.
D) This choice is incorrect because nitroglycerin is a vasodilator used to relieve chest pain (angina) by dilating blood vessels and increasing blood flow to the heart muscle. While it helps reduce anginal symptoms, it does not directly reduce myocardial oxygen demand as metoprolol does.
Correct Answer is C
Explanation
A: Oxygen does not directly dilate coronary arteries; medications such as nitrates are responsible for this effect.
B: While oxygen aids in metabolic processes, it does not directly affect the heart's pumping efficiency in the context of angina pectoris.
C: Oxygen therapy increases the oxygen saturation of the blood, which can help alleviate symptoms like shortness of breath and chest pain associated with angina by ensuring that the heart muscle receives sufficient oxygen to function properly.
D: Oxygen therapy is not a treatment for preventing clot formation; this is typically managed with anticoagulant medications.
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