A nurse is caring for a client who has coronary artery disease.

Exhibits

For each potential provider's prescription, click to specify if the prescription is a priority or non-priority for the client.

Aspirin 160 mg PO STAT

Captopril 12.5 mg PO TID

Prepare for cardiac catheterization

Atenolol 50 mg BID

Morphine 8 mg IV STAT

Prepare for percutaneous coronary intervention

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}

Priority:

Aspirin 160 mg PO STAT: Aspirin is an antiplatelet that helps limit clot propagation and reduce infarct size. It should be administered immediately during suspected MI.

Prepare for cardiac catheterization: Cardiac catheterization is used to visualize coronary arteries and assess blockage. Early cath lab evaluation is vital for treatment planning.

Morphine 8 mg IV STAT: Morphine helps relieve chest pain, reduce anxiety, and decrease myocardial oxygen demand, which is crucial in acute MI management.

Prepare for PCI: PCI is the definitive treatment for ST-elevation myocardial infarction (STEMI) and should be performed promptly to restore perfusion.

Non-Priority:

Captopril 12.5 mg PO TID: Although ACE inhibitors are part of long-term management for CAD and heart failure, they are not a priority during the acute phase of MI.

Atenolol 50 mg BID: Beta-blockers can be beneficial, but initiating oral atenolol in an unstable patient with evolving MI should be deferred until the acute event is stabilized.

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Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

Step 1: Confirm the client is in cardiac arrest and call for help:

Since the client has no pulse, blood pressure, or respirations, cardiac arrest must be confirmed immediately. Calling for help is essential to activate the emergency response team and mobilize additional resources like the crash cart.

Step 2: Begin CPR at a rate of 30:2 compression to ventilation ratio:

If cardiac arrest is confirmed, CPR should be initiated promptly. The correct ratio is 30 chest compressions to 2 rescue breaths, which should continue until advanced help arrives.

Why Other Options are Incorrect:

Assist in immediately placing an advanced airway: Airway management is important, but CPR should be the immediate priority in cardiac arrest. Airway management (including advanced airway placement) typically follows after starting CPR.

Obtain the crash cart: The crash cart should be obtained as part of the emergency response, but the nurse must first confirm the client's condition and initiate life-saving measures (CPR) before focusing on obtaining the cart.

Anticipate provider order for naloxone (Narcan) STAT: Naloxone can be administered if opioid overdose is suspected. However, given the absence of vital signs and the clinical scenario, cardiac arrest should be the immediate conrn rather than the suspected overdose.

Insert venous access to administer IV fluids: Venous access and fluid resuscitation are important once the client is stabilized, but CPR takes precedence in a cardiac arrest situation.

Instruct assistive personnel to obtain crash cart: This is part of the response but not the first step. The nurse must start CPR immediately after confirming cardiac arrest.

Prepare to defibrillate: Defibrillation may be necessary, but it is only indicated if the client has shockable rhythms like ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT). The nurse should first assess and initiate CPR.

A. HDL cholesterol 65 mg/dL (male greater than 45 mg/dL; female greater than 55 mg/dL) B. Diabetes mellitus C. Family history of aneurysm D. Smoking cigarettes E. Total cholesterol 170 mg/dL (less than 200 mg /dL)

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

Explanation

A: HDL of 65 mg/dL is protective, not a risk factor.
B: Diabetes mellitus contributes to vascular damage, increasing risk.
C: Family history is a well-established risk factor.
D: Smoking is the most significant modifiable risk factor for AAA.
E: Total cholesterol of 170 mg/dL is within the normal range and not a risk factor.

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A nurse is caring for a client who has coronary artery disease. Exhibits For each potential provider's prescription, click to specify if the prescription is a priority or non-priority for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client in the intensive care unit (ICU). Exhibits Complete the following sentence by using the list of options. After assessing the client, the nurse should first dropdownand thendropdown.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

Which of the following are risk factors for abdominal aortic aneurysm (AAA)? (Select all that apply.)

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

Explanation

Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is likely experiencing, 2 actions the nurse should take to address the condition, and 2 parameters the nurse should monitor to assess the client’s progress.

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A nurse is caring for a client in the emergency department. Exhibits Which of the following interventions should the nurse expect when planning care for this client? (Select All that Apply.)

A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?

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

A nurse is caring for a client who has coronary artery disease.

Exhibits

For each potential provider's prescription, click to specify if the prescription is a priority or non-priority for the client.