A nurse is admitting a client who reports chest pain.

Exhibits

The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take? (Select all that apply.)

Mark the surgical site with an "X

Ask the client about their last food and fluid intake

Educate the client that they will need to keep their leg straight for 6 hours after the procedure.

Ask the client about their prescribed, over the counter, and herbal medication use

Begin prophylactic heparin therapy prior to the procedure

Answer and Explanation

Correct Answer : B,D

A. Marking the surgical site with an "X" is not typically done for cardiac catheterization. Instead, the healthcare provider may mark the site if necessary, but this is usually done by the surgeon or interventional cardiologist.

B. Asking about food and fluid intake is crucial because the client will need to be NPO (nothing by mouth) for several hours before the procedure to reduce the risk of aspiration during sedation or anesthesia.

C. Educating the client about keeping their leg straight after the procedure is necessary, but this typically occurs after the procedure, not before. This helps prevent complications such as bleeding or clot formation at the insertion site.

D. Asking about prescribed, over-the-counter, and herbal medications is important because certain medications, especially anticoagulants and blood thinners, need to be stopped before the procedure to minimize the risk of bleeding during catheterization.

E. Prophylactic heparin therapy may be ordered by the provider, but it is not typically administered by the nurse before the procedure unless specifically ordered.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. While an ECG can provide insight into the function of the heart, it does not directly measure the pumping strength.

B. The primary purpose of an ECG is to assess the electrical activity of the heart. It measures the timing and strength of electrical signals as they move through the heart muscle, which helps diagnose arrhythmias, myocardial infarction, and other cardiac conditions.

C. An ECG does not evaluate coronary artery blood flow. Tests like coronary angiography or stress tests are used for that purpose.

D. An ECG does not provide a visualization of the heart's size or shape, which would be done through imaging methods like a chest X-ray or echocardiogram.

A. Decrease in LDL cholesterol from last visit. B. Generalized muscle aches. C. Nausea when taking the medication on an empty stomach D. Clear, light yellow urine output

Correct Answer is B

Explanation

A. A decrease in LDL cholesterol is a desired effect of simvastatin and does not indicate a problem.

B. Generalized muscle aches are a significant concern for patients on statin medications, such as simvastatin. This can be indicative of a serious side effect called rhabdomyolysis, a condition where muscle tissue breaks down and can lead to kidney damage. This should be communicated to the healthcare provider immediately for further evaluation and possible discontinuation of the medication.

C. Nausea when taking the medication on an empty stomach is a common side effect and may be addressed with guidance on when to take the medication.

D. Clear, light yellow urine is normal and does not require further action.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is admitting a client who reports chest pain. Exhibits The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client prior to an electrocardiogram (ECG). What is the best explanation regarding the purpose of electrocardiography?

Correct Answer is B

Explanation

A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?

Correct Answer is B

Explanation

The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?

A patient is taking an ACE inhibitor for hypertension. The patient reports a constant, dry, hacking cough. The nurse would expect the provider to change the current treatment to which of the following medications?

A nurse is preparing a client who is scheduled for a transesophageal echocardiogram (TEE) the following day. Which of the following instructions should the nurse include about the test?

A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

A patient who has chest pain is admitted to the emergency department (ED), and all of the following are ordered. Which one should the nurse arrange to be completed first?

A nurse is admitting a client who reports chest pain.

Exhibits

The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take? (Select all that apply.)