NUR 4120 CARDIOVASCULAR LABS

NUR 4120 CARDIOVASCULAR LABS.A nurse is working in the emergency department (ED) when a client arrives complaining of substernal and left arm discomfort that has been going on for about 3 hours. All of these baseline lab tests are drawn. Which of these lab values will be most useful in determining whether the nurse should anticipate implementing the acute coronary syndrome standards orders? - Troponin STRESS TEST In developing a standard teaching plan for the outpatient unit where stress testing is performed, the nurse should include information that the -Test may cause the client to experience chest pain. A client who is admitted for chest pain asks the nurse the reason for having an exercise stress test. The nurse should explain to a client that an exercise ECG is useful as one means of detecting - Coronary artery disease. CARDIAC CATHETERIZATION When preparing a patient for a cardiac catheterization, the patient states that she has allergies to seafood. Which of the following medications may give to her prior to the procedure? A. Furosemide (Lasix) B. Lorazepam (Ativan) C. Methylprednisolone (Solu-Medrol) D. Phenytoin (Dilantin) A nurse assessing a client who underwent cardiac catheterization finds the client lying flat on the bed. His temperature is 99.8° F (37.7° C). His blood pressure is 104/68 mm Hg. His pulse rate is 76 beats/minute. She detects weak pulses in the leg distal to the puncture site. Skin on the leg is cool to the touch. The puncture site is dry, but swollen. What is the most appropriate action for the nurse to take? A. Contact the physician and report her findings. B. Slow the I.V. fluid to prevent any more swelling at the puncture site. C. Encourage the client to perform isometric leg exercise to improve circulation in his legs. D. Document her findings and recheck the client in 1 hour. A nurse is performing an assessment on a client who had a cardiac catheterization three hours ago. Which of the following findings would require immediate intervention? - Catheterized extremity cold with decreased peripheral pulses. A nurse is caring for a client scheduled for a cardiac catheterization. Which of the following information would be of highest priority for the nurse to obtain before the procedure? - Allergy to Iodine or shellfish A client is scheduled for a cardiac catheterization. Which of these actions should the nurse implement? SELECT ALL THAT APPLY - Check for iodine sensitivity - Verify that written consent has been issued - Withhold food and oral fluids (8-12 Hrs) A nurse is caring for a client who has a history of coronary artery disease. That client asks the nurse how can the HCP find out the extent of the disease process. The nurse explains that the best diagnostic test to determine the location and extent of coronary artery disease would be a/an - Cardiac catheterization