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Actual Exam | Graded A+
Which nursing actions would be of greatest importance in
the management of a client preparing for angioplasty? -
ANSWER-Withhold anticoagulant therapy.
To be effective, percutaneous transluminal coronary
angioplasty (PTCA) must be performed within what time
frame, beginning with arrival at the emergency department
after diagnosis of myocardial infarction (MI)? - ANSWER-
60 minutes
,A client diagnosed with a myocardial infarction (MI) has
begun an active rehabilitation program. The nurse
recognizes which overall goal as a focus of rehabilitation
for a client who has had an MI? - ANSWER-Improved
quality of life
A nurse is caring for a client in the cardiovascular intensive
care unit following a coronary artery bypass graft. Which
clinical finding requires immediate intervention by the
nurse? - ANSWER-Central venous pressure reading of 1
A patient with coronary artery disease (CAD) is having a
cardiac catheterization. What indicator is present for the
patient to have a coronary artery bypass graft (CABG)? -
, ANSWER-The patient has at least a 70% occlusion of a
major coronary artery.
An older adult is postoperative day one, following a
coronary artery bypass graft (CABG). The client's family
members express concern to the nurse that the client is
uncharacteristically confused. After reporting this change
in status to the health care provider, what additional action
should the nurse take? - ANSWER-Assess for factors that
may be causing the client's delirium.
The nurse is to administer morphine sulfate to a client with
chest pain. What initial nursing action is required prior to
administration? - ANSWER-Count the respiratory rate for
bradypnea.