Rasmussen College MDC 3 FINAL Exam |
100% Correct Answers | Latest Version | A+
Guide
• A client is to have a treadmill stress test, prior to the stress test, the
nurse should report which elevated level to the HCP -✓✓Troponin
• A client with chest pain is prescribed IV nitroglycerin. Which finding
is of greatest concern for the nurse before administering nitroglycerin
drip? -✓✓Low blood pressure- 88/46
• A client with acute chest pain is receiving IV morphine sulfate. Which
effects of morphine would be expected -✓✓reduces myocardial oxygen
consumption
reduces blood pressure and heart rate
reduces anxiety and fear
• An older adult has chest pain and shortness of breath. The HCP
prescribes nitroglycerin tablet. What should the nurse instruct the client
to do -✓✓Place the tablet under the tongue until it is absorbed
• The nurse is preparing a client for a cardiac angiogram. what actions
should the nurse take? -✓✓Determine if the client has an allergy to
liquid contrast material.
Inform the client that an IV infusion will be started before the procedure.
Remind the client to have nothing to eat or drink 8 hours before the
procedure.
Instruct the client to remain still during the procedure
• An adult comes to the emergency room with crushing substernal chest
pain that radiates to the shoulder and left arm. The diagnosis is acute MI.
prescriptions include oxygen by nasal canula at 4L, a CBC, a chest
,radiography, a 12 lead ECG, and 2mg of morphine sulfate given IV.
What should the nurse do first -✓✓Administer the morphine
• A client is admitted with for an MI develops cardiogenic shock. What
prescription from the HCP should the nurse question -✓✓metoprolol
• The HCP prescribes continuous IV nitroglycerin infusion for a client.
What should the nurse do to ensure safe administration of this drug -
✓✓Use an infusion pump for the medication
• A client is scheduled for insertion of a coronary stent with right groin
access. What teaching points should the nurse include in the clients
preoperative teaching plan? -✓✓" If you have chest pain, please tell the
staff"
" You will need to remain flat during this procedure and for 3-6 hours
after the procedure"
• While caring for a client who has had a MI, the nurse notes eight
PVC's in one minute on the cardiac monitor. What should the nurse do
first -✓✓Notify the HCP
• The nurse is administering furosemide to a client. what is the expected
outcome? -✓✓Increased urine output
• The nurse is assisting the client during the acute phase of MI in making
a meal plan. What is the most appropriate diet for this client -✓✓Small,
easily digested meals
• The nurse is caring for a client that has started clopidogrel. The nurse
develops a teaching plan that includes which points -✓✓to report
unexpected bleeding or bleeding that lasts a long time
to understand that the client may bruise more easily or experience
bleeding gums
,to know that clopidogrel works by preventing platelets from sticking
together and forming a clot
• the client has been managing angina episodes with nitroglycerin. What
finding indicates that the therapeutic effect of this drug has been
achieved -✓✓reduced chest pain
• What is the expected outcome of tissue plasminogen activator -
✓✓revascularize the blocked coronary artery
• the nurse is monitoring a client who is receiving tissue plasminogen
activator. the nurse should assess the client for which changes? -
✓✓cardiac arrythmias
• . Following diagnosis of angina pectoris, a client reports being unable
to walk up
two flights of stairs without pain. Which of the following measures
would most likely
help the client prevent this problem?
1. Climb the steps early in the day.
2. Rest for at least an hour before climbing the stairs.
3. Take a nitroglycerin tablet before climbing the stairs.
4. Lie down after climbing the stairs. -✓✓take a nitroglycerin tablet
before climbing the stairs
• A client has a throbbing headache when nitroglycerin is taken for
angina. what should the nurse instruct the client to do -✓✓take
acetaminophen or ibuprofen
• A client with angina is taking nifedipine. what instructions should the
nurse give the client -✓✓inspect the gums daily
, • The nurse is preparing a client who had an MI for discharge being sent
home on simvastatin. what instructions should the nurse provide -✓✓if
you miss a dose take it when you remember it
report muscle pain or tenderness to your HCP
continue to follow a diet that is low is saturated fats
• The nurse is conducting a focused assessment for a client with left
sided heart failure. Which of the following findings would be of concern
-✓✓dyspnea, crackles, oliguria, decreased o2 sats
• which findings would indicate that a client with a history of left sided
heart failure is developing pulmonary edema -✓✓course crackles,
tachycardia
• The nurse is administering furosemide INTRAVENOUSLY to a client.
how soon after administering this drug should the nurse expect to see
evidence of this drugs desired effects -✓✓5 to 10 minutes
• The nurse is teaching the client with heart failure about taking digoxin.
What sign of digoxin toxicity should the nurse include in the teaching
plan -✓✓visual disturbances such as seeing yellow spots
• A client is receiving a loop diuretic. which foods should the nurse
recommend the client to eat to prevent potassium loss -✓✓banana, dried
fruit, orange juice
• The client has understood the teaching when they identify which as
potential complications of heart failure -✓✓becoming increasingly short
of breath at rest
weight gain of 2lbs or more in one day
having to sleep sitting upright in a reclining chair
• A client with diabetes who has been on maintained metformin has been
scheduled for a cardiac catheterization. The nurse should verify that the
100% Correct Answers | Latest Version | A+
Guide
• A client is to have a treadmill stress test, prior to the stress test, the
nurse should report which elevated level to the HCP -✓✓Troponin
• A client with chest pain is prescribed IV nitroglycerin. Which finding
is of greatest concern for the nurse before administering nitroglycerin
drip? -✓✓Low blood pressure- 88/46
• A client with acute chest pain is receiving IV morphine sulfate. Which
effects of morphine would be expected -✓✓reduces myocardial oxygen
consumption
reduces blood pressure and heart rate
reduces anxiety and fear
• An older adult has chest pain and shortness of breath. The HCP
prescribes nitroglycerin tablet. What should the nurse instruct the client
to do -✓✓Place the tablet under the tongue until it is absorbed
• The nurse is preparing a client for a cardiac angiogram. what actions
should the nurse take? -✓✓Determine if the client has an allergy to
liquid contrast material.
Inform the client that an IV infusion will be started before the procedure.
Remind the client to have nothing to eat or drink 8 hours before the
procedure.
Instruct the client to remain still during the procedure
• An adult comes to the emergency room with crushing substernal chest
pain that radiates to the shoulder and left arm. The diagnosis is acute MI.
prescriptions include oxygen by nasal canula at 4L, a CBC, a chest
,radiography, a 12 lead ECG, and 2mg of morphine sulfate given IV.
What should the nurse do first -✓✓Administer the morphine
• A client is admitted with for an MI develops cardiogenic shock. What
prescription from the HCP should the nurse question -✓✓metoprolol
• The HCP prescribes continuous IV nitroglycerin infusion for a client.
What should the nurse do to ensure safe administration of this drug -
✓✓Use an infusion pump for the medication
• A client is scheduled for insertion of a coronary stent with right groin
access. What teaching points should the nurse include in the clients
preoperative teaching plan? -✓✓" If you have chest pain, please tell the
staff"
" You will need to remain flat during this procedure and for 3-6 hours
after the procedure"
• While caring for a client who has had a MI, the nurse notes eight
PVC's in one minute on the cardiac monitor. What should the nurse do
first -✓✓Notify the HCP
• The nurse is administering furosemide to a client. what is the expected
outcome? -✓✓Increased urine output
• The nurse is assisting the client during the acute phase of MI in making
a meal plan. What is the most appropriate diet for this client -✓✓Small,
easily digested meals
• The nurse is caring for a client that has started clopidogrel. The nurse
develops a teaching plan that includes which points -✓✓to report
unexpected bleeding or bleeding that lasts a long time
to understand that the client may bruise more easily or experience
bleeding gums
,to know that clopidogrel works by preventing platelets from sticking
together and forming a clot
• the client has been managing angina episodes with nitroglycerin. What
finding indicates that the therapeutic effect of this drug has been
achieved -✓✓reduced chest pain
• What is the expected outcome of tissue plasminogen activator -
✓✓revascularize the blocked coronary artery
• the nurse is monitoring a client who is receiving tissue plasminogen
activator. the nurse should assess the client for which changes? -
✓✓cardiac arrythmias
• . Following diagnosis of angina pectoris, a client reports being unable
to walk up
two flights of stairs without pain. Which of the following measures
would most likely
help the client prevent this problem?
1. Climb the steps early in the day.
2. Rest for at least an hour before climbing the stairs.
3. Take a nitroglycerin tablet before climbing the stairs.
4. Lie down after climbing the stairs. -✓✓take a nitroglycerin tablet
before climbing the stairs
• A client has a throbbing headache when nitroglycerin is taken for
angina. what should the nurse instruct the client to do -✓✓take
acetaminophen or ibuprofen
• A client with angina is taking nifedipine. what instructions should the
nurse give the client -✓✓inspect the gums daily
, • The nurse is preparing a client who had an MI for discharge being sent
home on simvastatin. what instructions should the nurse provide -✓✓if
you miss a dose take it when you remember it
report muscle pain or tenderness to your HCP
continue to follow a diet that is low is saturated fats
• The nurse is conducting a focused assessment for a client with left
sided heart failure. Which of the following findings would be of concern
-✓✓dyspnea, crackles, oliguria, decreased o2 sats
• which findings would indicate that a client with a history of left sided
heart failure is developing pulmonary edema -✓✓course crackles,
tachycardia
• The nurse is administering furosemide INTRAVENOUSLY to a client.
how soon after administering this drug should the nurse expect to see
evidence of this drugs desired effects -✓✓5 to 10 minutes
• The nurse is teaching the client with heart failure about taking digoxin.
What sign of digoxin toxicity should the nurse include in the teaching
plan -✓✓visual disturbances such as seeing yellow spots
• A client is receiving a loop diuretic. which foods should the nurse
recommend the client to eat to prevent potassium loss -✓✓banana, dried
fruit, orange juice
• The client has understood the teaching when they identify which as
potential complications of heart failure -✓✓becoming increasingly short
of breath at rest
weight gain of 2lbs or more in one day
having to sleep sitting upright in a reclining chair
• A client with diabetes who has been on maintained metformin has been
scheduled for a cardiac catheterization. The nurse should verify that the
