Nr-2220 Best Med Surge Exam Cardial Questions And Correct Answers 2023/2024 Update

Nr-2220 Best Med Surge Exam Cardial Questions And Correct Answers 2023/2024 Update 1. Care of client post Percutaneous transluminal (PCTA) CLASSROOM coronary angioplasty A patient with an occluded coronary artery is admitted and has an emergency percutaneous transluminal coronary angioplasty (PTCA). The patient is admitted to the cardiac critical care unit after the PTCA. For what complication should the nurse most closely monitor the patient? 1. A) Hyperlipidemia 2. B) Bleeding at insertion site 3. C) Left ventricular hypertrophy 4. D) Congestive heart failure A nurse has taken on the care of a patient who had a coronary artery stent placed yesterday. When reviewing the patients daily medication administration record, the nurse should anticipate administering what drug? a) Ibuprofen b) Clopidogrel c) Dipyridamole d) Acetaminophen A nurse is working with a patient who has been scheduled for a percutaneous coronary intervention (PCI) later in the week. What anticipatory guidance should the nurse provide to the patient? 1. A) He will remain on bed rest for 48 to 72 hours after the procedure. 2. B) He will be given vitamin K infusions to prevent bleeding following PCI. 3. C) A sheath will be placed over the insertion site after the procedure is finished. 4. D) The procedure will likely be repeated in 6 to 8 weeks to ensure success. A patient in the cardiac step-down unit has begun bleeding from the percutaneous coronary intervention (PCI) access site in her femoral region. What is the nurses most appropriate action? CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM a) Call for assistance and initiate cardiopulmonary resuscitation. b) Reposition the patients leg in a nondependent position. c) Promptly remove the femoral sheath. d) Call for help and apply pressure to the access site. The nurse providing care for a patient post PTCA knows to monitor the patient closely. For what complications should the nurse monitor the patient? Select all that apply. a) Abrupt closure of the coronary artery b) Venous insufficiency c) Bleeding at the insertion site d) Retroperitoneal bleeding e) Arterial occlusion 2. Evaluation of effectiveness of PCTA BLEEDING POST OP ASSMT. ASSES FOR HYPOVOLEMIA, SSX OF SHOCK. ASSESS FOR CARDIAC OUTPUT. The nurse is caring for a patient who has undergone percutaneous transluminal coronary angioplasty (PTCA). What is the major indicator of success for this procedure? 1. A) Increase in the size of the arterys lumen 2. B) Decrease in arterial blood flow in relation to venous flow 3. C) Increase in the patients resting heart rate 4. D) Increase in the patients level of consciousness (LOC) 3. CABG Nursing action pre & post-surgery CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM SAPHENOUS VEIN An OR nurse is preparing to assist with a coronary artery bypass graft (CABG). The OR nurse knows that the vessel most commonly used as source for a CABG is what? 1. A) Brachial artery 2. B) Brachial vein 3. C) Femoral artery 4. D) Greater saphenous vein The OR nurse is explaining to a patient that cardiac surgery requires the CLASSROOM absence of blood from the surgical field. At the same time, it is imperative to maintain perfusion of body organs and tissues. What technique for achieving these simultaneous goals should the nurse describe? 1. A) Coronary artery bypass graft (CABG) 2. B) Percutaneous transluminal coronary angioplasty (PTCA) 3. C) Atherectomy 4. D) Cardiopulmonary bypass Preoperative education is an important part of the nursing care of patients having coronary artery revascularization. When explaining the pre- and postoperative regimens, the nurse would be sure to include education about which subject? a) Symptoms of hypovolemia b) Symptoms of low blood pressure c) Complications requiring graft removal d) Intubation and mechanical ventilation A patient who is postoperative day 1 following a CABG has produced 20 mL of urine in the past 3 hours and the nurse has confirmed the patency of the urinary catheter. What is the nurses most appropriate action? a) Document the patients low urine output and monitor closely for the next several hours. b) Contact the dietitian and suggest the need for increased oral fluid intake. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM c) Contact the patients physician and suggest assessment of fluid balance and renal function. d) Increase the infusion rate of the patients IV fluid to prompt an increase in renal function. 4. Troponin CARDIAC MARKER FOR MI= CHEST PAIN, EPIGASTRIC PAIN. DELEGATION. SEE FIRST The nurse is caring for a patient admitted with unstable angina. The laboratory result for the initial troponin I is elevated in this patient. The nurse should recognize what implication of this assessment finding? 1. This is only an accurate indicator of myocardial damage when it reaches its peak in 24 hours. CLASSROOM 2. Because the patient has a history of unstable angina, this is a poor indicator of myocardial injury. 3. This is an accurate indicator of myocardial injury. 4. This result indicates muscle injury, but does not specify the source. 23. An ED nurse is assessing an adult woman for a suspected MI. When planning the assessment, the nurse should be cognizant of what signs and symptoms of MI that are particularly common in female patients? Select all that apply. 1. A) Shortness of breath 2. B) Chest pain 3. C) Anxiety 4. D) Numbness 5. E) Weakness CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 5. Care of client with CAD diet, medication, CLASSROOM exercise, and risk factors The nurse is caring for a patient who has been diagnosed with an elevated cholesterol level. The nurse is aware that plaque on the inner lumen of arteries is composed chiefly of what? 1. A) Lipids and fibrous tissue 2. B) White blood cells 3. C) Lipoproteins 4. D) High-density cholesterol A patient presents to the walk-in clinic complaining of intermittent chest pain on exertion, which is eventually attributed to angina. The nurse should inform the patient that angina is most often attributable to what cause? 1. A) Decreased cardiac output 2. B) Decreased cardiac contractility 3. C) Infarction of the myocardium 4. D) Coronary arteriosclerosis The triage nurse in the ED assesses a 66-year-old male patient who presents to the ED with complaints of midsternal chest pain that has lasted for the last 5 hours. If the patients symptoms are due to an MI, what will have happened to the myocardium? a) It may have developed an increased area of infarction during the time without treatment. b) It will probably not have more damage than if he came in immediately. c) It may be responsive to restoration of the area of dead cells with proper treatment. d) It has been irreparably damaged, so immediate treatment is no longer necessary. Family members bring a patient to the ED with pale cool skin, sudden midsternal chest pain unrelieved with rest, and a history of CAD. How should the nurse best interpret these initial data? 1. A) The symptoms indicate angina and should be treated as such. CLASSROOM 2. B) The symptoms indicate a pulmonary etiology rather than a cardiac etiology. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 3. C) The symptoms indicate an acute coronary episode and should be treated as such.