PrepU
PrepU CARDIOVSCULAR all chapters adults
exclamations and ref:
Report this Question
A client with chronic arterial occlusive disease undergoes percutaneous
transluminal coronary angioplasty (PTCA) for mechanical dilation of the right
femoral artery. After the procedure, the client will be prescribed long-term
administration of which drug?
• aspirin or clopidogrel.
Explanation:
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter
27: Management of Patients with Coronary Vascular Disorders,
Adenosine Diphosphate Receptor
Antagonists (P2Y12 ), p. 760.
Chapter 27: Management of Patients with Coronary Vascular Disorders
- Page 760
Add a Note
Question 2 See full question
49s
Report this Question
A client is admitted to the emergency department with chest pain and
doesn't respond to nitroglycerin. The health care team obtains an
electrocardiogram and administers I.V. morphine. The health care provider
also considers administering alteplase. This thrombolytic agent must be
administered how soon after onset of myocardial infarction (MI) symptoms?
You Selected:
• Within 6 hours
Correct response:
• Within 6 hours
Explanation:
1
,PrepU
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter
27: Management
2
,PrepU
of Patients with Coronary Vascular Disorders, Thrombolytics
(Fibrinolytics), p. 766.
Chapter 27: Management of Patients with Coronary Vascular Disorders
- Page 766
Add a Note
Question 3 See full question
4m 59s
Report this Question
Which type of graft is used when a heart valve replacement is made of
tissue from an animal heart valve?
You Selected:
• Heterograft
Correct response:
• Heterograft
Explanation:
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter
28: Management
of Patients with Structural, Infectious and Inflammatory Cardiac
Disorders, p. 800.
Chapter 28: Management of Patients with Structural, Infectious and
Inflammatory Cardiac Disorders - Page 800
Add a Note
Question 4 See full question
18m 48s
Report this Question
The nurse is caring for a client scheduled for a transesophageal
echocardiogram with a diagnosis of atrial fibrillation. The client's spouse
asks the nurse to explain the purpose of the test. What is the nurse's best
response?
You Selected:
3
, PrepU
• "This test will show the specific area causing the atrial fibrillation
and what can be done to stop it."
Correct response:
• "This test will show any blood clots in the heart, and help us
determine if it is safe to do a cardioversion."
Explanation:
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter
26: Management
of Patients with Dysrhythmias and Conduction Problems, Quality and
Safety Nursing Alert, p. 725.
Chapter 26: Management of Patients with Dysrhythmias and
Conduction Problems - Page 725
Add a Note
Question 5 See full question
18m 52s
Report this Question
During a teaching session, a client who is having a valuloplasty tomorrow
asks the nurse about the difference between a mechanical valve
replacement and a tissue valve. What answer from the nurse is correct?
You Selected:
• "A mechanical valve is less likely to generate blood clots, so
long-term anticoagulation therapy is not required."
Correct response:
• "A mechanical valve is thought to be more durable and so requires
replacement less often."
Explanation:
Mechanical valves are thought to be more durable than tissue valves and
so require replacement less often. Tissue valves are less likely to generate
blood clots and so long-term anticoagulation therapy is not required.
Homografts (human valves) are not always available and are very
expensive.
Reference:
4
PrepU CARDIOVSCULAR all chapters adults
exclamations and ref:
Report this Question
A client with chronic arterial occlusive disease undergoes percutaneous
transluminal coronary angioplasty (PTCA) for mechanical dilation of the right
femoral artery. After the procedure, the client will be prescribed long-term
administration of which drug?
• aspirin or clopidogrel.
Explanation:
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter
27: Management of Patients with Coronary Vascular Disorders,
Adenosine Diphosphate Receptor
Antagonists (P2Y12 ), p. 760.
Chapter 27: Management of Patients with Coronary Vascular Disorders
- Page 760
Add a Note
Question 2 See full question
49s
Report this Question
A client is admitted to the emergency department with chest pain and
doesn't respond to nitroglycerin. The health care team obtains an
electrocardiogram and administers I.V. morphine. The health care provider
also considers administering alteplase. This thrombolytic agent must be
administered how soon after onset of myocardial infarction (MI) symptoms?
You Selected:
• Within 6 hours
Correct response:
• Within 6 hours
Explanation:
1
,PrepU
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter
27: Management
2
,PrepU
of Patients with Coronary Vascular Disorders, Thrombolytics
(Fibrinolytics), p. 766.
Chapter 27: Management of Patients with Coronary Vascular Disorders
- Page 766
Add a Note
Question 3 See full question
4m 59s
Report this Question
Which type of graft is used when a heart valve replacement is made of
tissue from an animal heart valve?
You Selected:
• Heterograft
Correct response:
• Heterograft
Explanation:
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter
28: Management
of Patients with Structural, Infectious and Inflammatory Cardiac
Disorders, p. 800.
Chapter 28: Management of Patients with Structural, Infectious and
Inflammatory Cardiac Disorders - Page 800
Add a Note
Question 4 See full question
18m 48s
Report this Question
The nurse is caring for a client scheduled for a transesophageal
echocardiogram with a diagnosis of atrial fibrillation. The client's spouse
asks the nurse to explain the purpose of the test. What is the nurse's best
response?
You Selected:
3
, PrepU
• "This test will show the specific area causing the atrial fibrillation
and what can be done to stop it."
Correct response:
• "This test will show any blood clots in the heart, and help us
determine if it is safe to do a cardioversion."
Explanation:
Reference:
• Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter
26: Management
of Patients with Dysrhythmias and Conduction Problems, Quality and
Safety Nursing Alert, p. 725.
Chapter 26: Management of Patients with Dysrhythmias and
Conduction Problems - Page 725
Add a Note
Question 5 See full question
18m 52s
Report this Question
During a teaching session, a client who is having a valuloplasty tomorrow
asks the nurse about the difference between a mechanical valve
replacement and a tissue valve. What answer from the nurse is correct?
You Selected:
• "A mechanical valve is less likely to generate blood clots, so
long-term anticoagulation therapy is not required."
Correct response:
• "A mechanical valve is thought to be more durable and so requires
replacement less often."
Explanation:
Mechanical valves are thought to be more durable than tissue valves and
so require replacement less often. Tissue valves are less likely to generate
blood clots and so long-term anticoagulation therapy is not required.
Homografts (human valves) are not always available and are very
expensive.
Reference:
4
