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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. Venous insufficiency B. Intermittent claudication C. Neuropathy D. Deep vein thrombosis

Correct Answer is B

Explanation

A. Venous insufficiency results in symptoms such as swelling, aching, or heaviness, especially in the lower legs, but does not typically cause pain with exertion that is relieved by rest.

B. Intermittent claudication refers to pain and cramping in the legs that occurs during physical activity (like walking) due to reduced blood flow, which is relieved by rest. This is a hallmark symptom of peripheral arterial disease (PAD).

C. Neuropathy refers to nerve damage, often seen in conditions like diabetes, and is usually characterized by tingling, numbness, or burning sensations, not cramping or pain relieved by rest.

D. Deep vein thrombosis (DVT) presents with swelling, redness, warmth, and possible pain in the affected leg due to blood clot formation, not cramping with exertion.

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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

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