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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 B

Explanation

A. A troponin level will confirm myocardial injury but should be done after an ECG, as the ECG provides immediate information on the condition.

B. The first action in a chest pain situation is to obtain an ECG to assess for myocardial infarction or other cardiac abnormalities. The ECG provides immediate information about the heart's electrical activity and can help identify whether the chest pain is related to a cardiac event.

C. Insertion of a peripheral IV is important for administering medications and fluids, but it is not as urgent as obtaining an ECG to evaluate the patient's heart.

D. A chest X-ray is useful for other potential diagnoses (e.g., pulmonary embolism or pneumothorax) but is not the first step in diagnosing a myocardial event.

A. Hydralazine B. An antiplatelet medication C. An angiotensin in receptor blocker (ARB) D. Nitroglycerin

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.

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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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Correct Answer is C

Explanation

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