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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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Hydralazine is a vasodilator, but it does not have the same mechanism of action as ACE inhibitors or ARBs and would not be an appropriate substitute.

B. An antiplatelet medication is not appropriate for addressing a cough and is typically used for cardiovascular conditions like preventing blood clots.

C. ARBs, such as losartan, are a class of medications that work similarly to ACE inhibitors by blocking the effects of angiotensin II, but they do not cause the common side effect of a dry, hacking cough, which is seen with ACE inhibitors. This makes ARBs a good alternative for patients who experience this side effect.

D. Nitroglycerin is a vasodilator used in acute conditions like chest pain, not for managing hypertension or a cough related to ACE inhibitors.

A. Diabetes B. HDL cholesterol C. Triglycerides D. Total cholesterol

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).

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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