A nurse is performing an electrocardiogram on a client who has been experiencing chest pain over the past week or so. Which of the following statements should the nurse make to the patient prior to the test?

"I will need to apply electrodes to your chest and extremities."

"You may feel a slight tingling while the test is being done."

"The radioactivity from the dye lasts only a few hours."

"The test will be complete in 30 to 60 minutes."

Answer and Explanation

The Correct Answer is A

A. "I will need to apply electrodes to your chest and extremities." This is a correct statement. The nurse needs to apply electrodes to the chest and extremities in order to obtain the ECG reading.

B. "You may feel a slight tingling while the test is being done." An ECG is a non-invasive test and does not cause any sensation such as tingling. This statement is inaccurate.

C. "The radioactivity from the dye lasts only a few hours." There is no dye or radioactivity involved in a standard ECG. This statement would apply to imaging studies like a nuclear stress test, not an ECG.

D. "The test will be complete in 30 to 60 minutes." A standard ECG takes only a few minutes to complete. This statement would be inaccurate for this type of procedure.

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Correct Answer is C

Explanation

A. Anemia: Anemia is not a common adverse effect associated with atenolol. Atenolol primarily affects the cardiovascular system by lowering heart rate and blood pressure.

B. Neutropenia: Neutropenia, is not typically associated with atenolol.

C. Bradycardia: Bradycardia is a common adverse effect of beta-blockers like atenolol, as they work by slowing down the heart rate and reducing myocardial oxygen demand.

D. Hypokalemia: Atenolol is not known to cause hypokalemia. Diuretics are more commonly associated with this electrolyte imbalance.

Correct Answer is []

Explanation

Condition:

Left-sided heart failure: The client is presenting with classic symptoms of left-sided heart failure, such as fatigue, weakness, nocturia (awakening at night to urinate), crackles in the lungs (due to fluid accumulation), a rapid and irregular apical heart rate, an audible S3 gallop, and a dry, hacking cough. These are indicative of pulmonary congestion, which is typical in left-sided heart failure.

Actions to take:

Administer supplemental oxygen: Since the client is experiencing pulmonary congestion with crackles and a rapid irregular heart rate, supplemental oxygen will help to improve oxygenation and alleviate dyspnea associated with heart failure.
Elevate the head of the client’s bed: Elevating the head of the bed will promote better lung expansion, reduce pulmonary congestion, and ease breathing, which is beneficial in managing the symptoms of left-sided heart failure.

Parameters to monitor:

Urine output: Monitoring urine output helps assess the effectiveness of diuretic therapy and overall kidney function. In heart failure, decreased perfusion to the kidneys may lead to fluid retention, so monitoring urine output is essential in evaluating fluid balance.
Weight: Daily weight monitoring is important in heart failure management to detect fluid retention. A rapid weight gain may indicate worsening heart failure, while a reduction in weight could signify successful diuresis and fluid management.

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A nurse is performing an electrocardiogram on a client who has been experiencing chest pain over the past week or so. Which of the following statements should the nurse make to the patient prior to the test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who has a new prescription for atenolol, a Beta Blocker. For which of the following adverse effects should the nurse monitor the client?

Correct Answer is C

Explanation

Correct Answer is []

Explanation

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