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Exam (elaborations)

NCLEX book Cardiac Questions and Answers Already Passed

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NCLEX book Cardiac Questions and Answers Already Passed A client admitted to the hospital with chest pain and a history of Type 2 DM is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure? a. Glipizide b. Metformin c. Repaglinide d. Regular Insulin b. Metformin The nurse in the medical unit is caring for a patient with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles and the nurse suspects pulmonary edema. The nurse immediately asks another nurse to contact the HCP and prepares to implement which priority interventions? -- SATA-- a. Administering O2 b. Inserting Foley catheter c. Administering furosemide d. administering morphine sulfate IV e. Transporting the client to the coronary care unit f. Placing the client in a low-fowler's side-lying position a. Administering O2 b. Inserting Foley catheter c. Administering furosemide d. administering morphine sulfate IV A client with MI suddenly becomes tachycardic, shows signs of air hunger, and begins coughing pink frothy sputum. what adventitious sound would the nurse anticipate hearing? a. stridor b. crackles c. scattered rhonchi d. diminished breath sounds a. stridor A client with MI is developing cardiogenic shock. Because of the risk of myocardial ischemia. What condition should be the nurse carefully assess the client for? a. Bradycardia b. Ventricular dysrhythmias c. Rising diastolic blood pressure d. Falling central venous pressure b. Ventricular dysrhythmias A client is wearing a continuous cardiac monitor which begins to sound its alarm. The nurse sees no ECG complexes on the screen. Which is the priority nursing action? a. Call a code b Call the HCP c. Check the clients status and lead placement d Press the recorder button on the ECG console c. Check the clients status and lead placement The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac tamponade. Which observation would indicate that the procedure would indicate that the procedure was effective? a. muffled heart sounds b. a rise in BP c. JVD d. client expressions of dyspnea b. a rise in BP The nurse is caring for a client who had a resection of an abdominal aorta aneurysm yesterday. The Client has an IV infusion at a rate of 150 ml/hr, unchanged for the last 10 hours. The client's urine output for the last 3 hours has been 90, 50, and 28 mL. Client's BUN is 35 mg/dL and the serum creatinine level is 1.8 mg/dL, measured this morning. Which nursing action is priority? a. check the urine specific gravity b. call the HCP c. put the IV line on a pump so that the infusion

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NCLEX book Cardiac

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