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 B

Explanation

Rationale:

A. Nitroglycerin is typically taken as needed for angina symptoms, not routinely before going to bed.

B. Taking one tablet at the first indication of chest pain is the correct instruction for using nitroglycerin to relieve angina symptoms.

C. While multiple doses of nitroglycerin may be needed during an acute angina attack, they should be spaced at least 5 minutes apart, not every 15 minutes.

D. Nitroglycerin is not typically used to lower blood pressure. It is primarily used to relieve angina symptoms by dilating blood vessels and improving blood flow to the heart.

A. The client is experiencing episodes of deep vein thrombosis. B. The client is experiencing episodes of intermittent claudication. C. The client is experiencing episodes of venous insufficiency. D. The client is experiencing episodes of neuropathy.

Correct Answer is B

Explanation

Rationale:

A. Deep vein thrombosis typically presents with symptoms such as leg swelling, pain, warmth, and redness, but not necessarily with cramping leg pain that is relieved with rest.

B. Intermittent claudication is a classic symptom of peripheral arterial disease, characterized by cramping leg pain that occurs with exercise and is relieved with rest.

C. Venous insufficiency presents with symptoms such as leg swelling, varicose veins, and aching or heaviness in the legs, but not necessarily with cramping leg pain that is relieved with rest.

D. Neuropathy may cause various sensory symptoms in the legs, such as numbness, tingling, or burning, but it is not typically associated with cramping leg pain that is relieved with rest.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is B

Explanation

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