A nurse is caring for a client who is scheduled for an echocardiogram the following day. Which of the following information should the nurse include about the test?

"The test is used to assess the structures and function of the valves and heart muscle"

"You will not be permitted to eat or drink after midnight

"During the test there will be slight discomfort in the chest area"

"The test is used to identify the extent of blockages in the arteries in the heart

Answer and Explanation

The Correct Answer is A

Rationale:

A. An echocardiogram is a diagnostic test that uses sound waves to create images of the heart's chambers, valves, and surrounding structures, and assesses their function.

B. Fasting is not typically required for an echocardiogram.

C. Discomfort is not typically associated with an echocardiogram.

D. An echocardiogram does not typically assess the extent of blockages in the arteries.

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Correct Answer is B

Explanation

A. A sinus tachycardia is characterized by a sinus P wave at a rate of more than 100 per minute followed by a narrow QRS complex unlike in the strip depicted above.

B. The above ECG strip shows a ventricular tachycardia based on the wide QRS with a rate more than 120 bpm, AV dissociation and the fusion beats.

C. A complete heart block is characterized by QRS complexes being conducted at their own rates and totally independent of the P wave.

D. An idioventricular rhythm is characterized by a slow regular ventricular rhythm with a rate less than 50 bpm unlike in the above strip. It also has a prolonged QRS interval with no P wave.

A. Notify the provider of a weight gain of 0.5 kg (1 lb) in a week. B. It is okay to skip a dose of diuretic. C. Check weight daily when it is easiest. D. Call the provider if you gain 2 lbs. in 24 hours

Correct Answer is D

Explanation

Rationale:

A. A weight gain of 0.5 kg (1 lb) in a week is not typically concerning for heart failure exacerbation.

B. Skipping a dose of a diuretic can lead to fluid retention and exacerbate heart failure symptoms.

C. Weighing daily is important for monitoring fluid retention, but the specific time of day is not as crucial as consistent timing.

D. A weight gain of 2 lbs. in 24 hours can indicate fluid retention and worsening heart failure.

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A nurse is caring for a client who is scheduled for an echocardiogram the following day. Which of the following information should the nurse include about the test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Identify the following Cardiac Rhythm:

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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