A nurse is providing education to a client who has asked what a transesophageal echocardiogram will determine. Which of the following statements should the nurse utilize to best answer the client?

This procedure will detect ventricular thrombi.

This procedure will determine heart conduction problems.

This procedure will determine exercise tolerance.

This procedure will detect blood flow to the distal extremities.

Answer and Explanation

The Correct Answer is A

Rationale:

A. A transesophageal echocardiogram (TEE) is a specialized echocardiographic procedure that provides detailed images of the heart, including the atria and ventricles. It is particularly useful for detecting ventricular thrombi (blood clots) that may not be visualized as well with transthoracic echocardiography.

B. While an echocardiogram can provide information about heart function, including conduction problems, a TEE is not typically used specifically for this purpose.

C. Exercise tolerance is typically assessed through exercise stress testing or other exercise- related procedures, not with a TEE.

D. Blood flow to the distal extremities is not directly assessed with a TEE. This procedure primarily focuses on evaluating cardiac structure and function.

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Correct Answer is C

Explanation

A. “I should not have any coffee 3 hours after the exam.” This statement is not accurate. The restriction related to coffee is usually before the test, not after.

B. “I should not exercise 3 hours after the exam.” This statement is incorrect. The restriction on exercise typically applies before the test, not after.

C. “I should not have beta blockers 3 hours before the exam.” Correct! Beta blockers can affect heart rate and blood pressure, so avoiding them before the test is essential.

D. “I should not smoke 3 hours before the exam.” While it’s generally advisable to avoid smoking before the test, this statement does not specifically address the cardiac stress test.

A. Clopidogrel B. Clonidine C. Hydralazine D. Nifedipine E. Gemfibrozil

Correct Answer is ["B","C"]

Explanation

Rationale:

A. Clopidogrel is an antiplatelet medication used to prevent blood clots, and it is not associated with orthostatic hypotension.

B. Clonidine is an antihypertensive medication that can cause orthostatic hypotension, particularly when changing positions from lying to standing.

C. Hydralazine is an antihypertensive medication that can cause orthostatic hypotension, particularly at higher doses.

D. Nifedipine, a calcium channel blocker, is generally associated with a risk of hypotension; however, it is not specifically indicated as a common cause of orthostatic hypotension.

E. Gemfibrozil is a lipid-lowering medication and is not associated with orthostatic hypotension.

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A nurse is providing education to a client who has asked what a transesophageal echocardiogram will determine. Which of the following statements should the nurse utilize to best answer the client?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the preparations needed before completing a cardiac stress test. Which of the following statements by the client would indicate the teaching was effective?

Correct Answer is C

Explanation

A nurse is planning care for a client who takes several cardiac medications. The nurse should recognize which of the following medications places the client at risk for orthostatic hypotension? (select all that apply)

Correct Answer is ["B","C"]

Explanation

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