A client admitted to the hospital with chest pain and a history of type 2
diabetes mellitus 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?
1. Glipizide
2. Metformin
3. Repaglinide
4. Regular insulin
A client who had cardiac surgery 24 hours ago has had a urine output
averaging 20 mL/hour for 2 hours. The client received a single bolus of 500
mL of intravenous fluid. Urine output for the subsequent hour was 25 mL.
Daily laboratory results indicate that the blood urea nitrogen level is 45
mg/dL (16 mmol/L) and the serum creatinine level is 2.2 mg/dL (194
mcmol/L). On the basis of these findings, the nurse would anticipate that
the client is at risk for which problem?
1. Hypovolemia
2. Acute kidney injury
3. Glomerulonephritis
4. Urinary tract infection
,The nurse is reviewing an electrocardiogram rhythm strip. The P waves and
QRS complexes are regular. The PR interval is 0.16 seconds, and QRS
complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute.
Which action should the nurse take?
1. Check vital signs.
2. Check laboratory test results.
3. Notify the health care provider.
4. Continue to monitor for any rhythm change.
A client is wearing a continuous cardiac monitor, which begins to sound its
alarm. The nurse sees no electrocardiographic complexes on the screen.
Which is the priority nursing action?
1. Call a code.
2. Call the health care provider.
3. Check the client's status and lead placement.
4. Press the recorder button on the electrocardiogram console.
The nurse is evaluating a client's response to cardioversion. Which
assessment would be thepriority?
,1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
A client's electrocardiogram strip shows atrial and ventricular rates of 110
beats/minute. The PR interval is 0.14 seconds, the QRS complex measures
0.08 seconds, and the PP and RR intervals are regular. How should the
nurse correctly interpret this rhythm?
1. Sinus tachycardia
2. Sinus bradycardia
3. Sinus dysrhythmia
4. Normal sinus rhythm
The nurse is assessing the neurovascular status of a client who returned to
the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass
, graft. The affected leg is warm, and the nurse notes redness and edema.
The pedal pulse is palpable and unchanged from admission. How should the
nurse correctly interpret the client's neurovascular status?
1. The neurovascular status is normal because of increased blood flow
through the leg.
2. The neurovascular status is moderately impaired, and the surgeon should be
called.
3. The neurovascular status is slightly deteriorating and should be monitored
for another hour.
4. The neurovascular status is adequate from an arterial approach, but venous
complications are arising.
The nurse is evaluating the condition of a client after pericardiocentesis
performed to treat cardiac tamponade. Which observation would indicate
that the procedure was effective?
1. Muffled heart sounds
2. A rise in blood pressure
3. Jugular venous distention
4. Client expressions of dyspnea
A client with variant angina is scheduled to receive an oral calcium channel
blocker twice daily. Which statement by the client indicates theneed for
further teaching?
"I should notify my doctor if my feet or legs start to swell."
1.
diabetes mellitus 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?
1. Glipizide
2. Metformin
3. Repaglinide
4. Regular insulin
A client who had cardiac surgery 24 hours ago has had a urine output
averaging 20 mL/hour for 2 hours. The client received a single bolus of 500
mL of intravenous fluid. Urine output for the subsequent hour was 25 mL.
Daily laboratory results indicate that the blood urea nitrogen level is 45
mg/dL (16 mmol/L) and the serum creatinine level is 2.2 mg/dL (194
mcmol/L). On the basis of these findings, the nurse would anticipate that
the client is at risk for which problem?
1. Hypovolemia
2. Acute kidney injury
3. Glomerulonephritis
4. Urinary tract infection
,The nurse is reviewing an electrocardiogram rhythm strip. The P waves and
QRS complexes are regular. The PR interval is 0.16 seconds, and QRS
complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute.
Which action should the nurse take?
1. Check vital signs.
2. Check laboratory test results.
3. Notify the health care provider.
4. Continue to monitor for any rhythm change.
A client is wearing a continuous cardiac monitor, which begins to sound its
alarm. The nurse sees no electrocardiographic complexes on the screen.
Which is the priority nursing action?
1. Call a code.
2. Call the health care provider.
3. Check the client's status and lead placement.
4. Press the recorder button on the electrocardiogram console.
The nurse is evaluating a client's response to cardioversion. Which
assessment would be thepriority?
,1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
A client's electrocardiogram strip shows atrial and ventricular rates of 110
beats/minute. The PR interval is 0.14 seconds, the QRS complex measures
0.08 seconds, and the PP and RR intervals are regular. How should the
nurse correctly interpret this rhythm?
1. Sinus tachycardia
2. Sinus bradycardia
3. Sinus dysrhythmia
4. Normal sinus rhythm
The nurse is assessing the neurovascular status of a client who returned to
the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass
, graft. The affected leg is warm, and the nurse notes redness and edema.
The pedal pulse is palpable and unchanged from admission. How should the
nurse correctly interpret the client's neurovascular status?
1. The neurovascular status is normal because of increased blood flow
through the leg.
2. The neurovascular status is moderately impaired, and the surgeon should be
called.
3. The neurovascular status is slightly deteriorating and should be monitored
for another hour.
4. The neurovascular status is adequate from an arterial approach, but venous
complications are arising.
The nurse is evaluating the condition of a client after pericardiocentesis
performed to treat cardiac tamponade. Which observation would indicate
that the procedure was effective?
1. Muffled heart sounds
2. A rise in blood pressure
3. Jugular venous distention
4. Client expressions of dyspnea
A client with variant angina is scheduled to receive an oral calcium channel
blocker twice daily. Which statement by the client indicates theneed for
further teaching?
"I should notify my doctor if my feet or legs start to swell."
1.
