Which tests can be used to assist in diagnosing a patient with coronary artery disease? Select all that apply.

Exercise stress test

Troponin I

Cardiac computed tomography

Radioisotope imaging

Angiography

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: An exercise stress test can help diagnose coronary artery disease by measuring the heart's ability to respond to external stress in a controlled clinical environment.

Choice B reason: Troponin I is a blood test that measures the levels of troponin T or troponin I proteins in the blood. These proteins are released when the heart muscle has been damaged, such as in a heart attack, which is a common complication of coronary artery disease.

Choice C reason: Cardiac computed tomography (CT) for calcium scoring is a non-invasive way of obtaining information about the presence, location, and extent of calcified plaque in the coronary arteries.

Choice D reason: Radioisotope imaging, such as a nuclear stress test, can show how blood moves to the heart muscle at rest and during stress, helping to diagnose coronary artery disease.

Choice E reason: Angiography involves using X-rays to see your body's blood vessels. Coronary angiography is specifically used to see if your coronary arteries are blocked or narrowed, where they supply blood to your heart.

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Correct Answer is C

Explanation

Choice A reason: Schizophrenia is a diagnosis, not a symptom, and involves a range of symptoms including delusions, hallucinations, and disorganized thinking.

Choice B reason: Auditory hallucinations involve hearing voices or sounds that are not there and are not described in the scenario.

Choice C reason: Delusions of grandeur involve beliefs of having more power, wealth, smarts, or other grand traits than is true, which fits the description of Marge's belief about advising the mayor.

Choice D reason: Delusions of persecution involve beliefs that others are out to harm or harass the individual, which is not indicated in Marge's behavior.

A. Frothy sputum B. Orthopnea C. Peripheral edema D. Dyspnea

Correct Answer is C

Explanation

Choice A reason: Frothy sputum is more commonly associated with left-sided heart failure.

Choice B reason: Orthopnea, or difficulty breathing when lying flat, is also more commonly associated with left-sided heart failure.

Choice C reason: Peripheral edema, which is swelling in the lower limbs, is a classic symptom of right-sided heart failure.

Choice D reason: Dyspnea, or shortness of breath, can occur in right-sided heart failure but is more characteristic of left-sided heart failure. Peripheral edema is the most specific symptom to right-sided heart failure among the options provided.

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Which tests can be used to assist in diagnosing a patient with coronary artery disease? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

Correct Answer is C

Explanation

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

Your patient appears withdrawn and depressed. Which of the following would not be an effective intervention?

The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the following is an appropriate food choice for this client?

A nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention?

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?