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?
"Multiple electrode patches will be placed across your chest and limbs."
You will need to keep the affected leg straight for 6 hours after
"It requires lying quietly on one side.
"You will require sedating medications to help tolerate the exam.
The Correct Answer is D
A. Electrode patches relate to ECG, not TEE.
B. Keeping a leg straight is relevant for procedures involving femoral access, like cardiac catheterization.
C. Lying quietly on one side is not specific to TEE preparation.
D. Sedation helps patients tolerate the TEE, which involves passing a probe down the esophagus.
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Related Questions
Correct Answer is D
Explanation
A. A fasting blood glucose level of 98 mg/dL is within the normal range (70–99 mg/dL), indicating no immediate concern for diabetes.
B. An HDL cholesterol level of 58 mg/dL is considered protective against CAD, as higher HDL levels are associated with a lower risk of heart disease.
C. Triglyceride levels of 120 mg/dL are within the normal range (less than 150 mg/dL), so they do not require follow-up.
D. A total cholesterol level of 210 mg/dL is slightly above the recommended level of less than 200 mg/dL. Elevated cholesterol, particularly LDL cholesterol, is a key modifiable risk factor for coronary artery disease (CAD).
Correct Answer is A
Explanation
A. Troponins (specifically troponin I and T) are proteins released when the heart muscle is damaged. They are the most specific and sensitive markers for myocardial injury, especially in diagnosing a myocardial infarction (MI).
B. Creatine kinase (CK) is an enzyme found in various tissues, including the heart. CK-MB is a cardiac isoenzyme, but it is not as specific for myocardial injury as troponins. It can also be elevated in other conditions like muscle injury.
C. Homocysteine (Hcy) is an amino acid that can increase the risk of cardiovascular disease but does not serve as an immediate marker for myocardial damage.
D. Myoglobin is an early marker of muscle injury, but it lacks specificity for myocardial damage as it can also rise in skeletal muscle injury, making it less reliable than troponins.
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