Cardio 1. Based on the admission notes and data collected during the nurse's assessment, indicate which condition the client is most likely experiencing. Please select your answer Pulmonary Embolism Acute Angina Acute Coronary Syndrome Unstable Angina 2. The nurse recognizes that the client is likely experiencing acute coronary syndrome. Select the top six most imporant physician's orders. Whether the answers are right or wrong will not show until you have selected all 6 choices. Administer oxygen 4L via nasal cannula Serial Cardiac enzymes x 3 every 6 hours Stat 12 Lead EKG NItroglycerin IV drip Morphine 2 to 4 mg IVP for chest pain prn Continuous Cardiac Monitoring Diet as tolerated CT scan of the chest Ultrasound of bilateral carotid arteries Lipid Panel Comment Hint 3. The nurse recognizes that the client is at high risk for hypertension due to: Deselect Answer Ethinicity: African American Drinks 1 glass of wine every night. BMI 25 History of Smoking None 4. Which of the following is the nurse's priority intervention for this client? Deselect Answer Apply oxygen at 4L NC as ordered Start nitroglycerin Drip Draw ordered labs stat Get a stat 12 lead EKG None 5. The nurse starts the client on a nitroglycerin drip. Which reading warrants the nurse notifying the physician because the client's MAP is abnormal? Deselect Answer 95/61 mm Hg 100/32 mm Hg 125/55 mm Hg 138/59mm Hg None 6. The nurse reviews the results for the basic metabolic panel and notes that the potassium is 5.7 mEq/L (normal 3.5 to 5.0 mEq/L). The doctor tells the nurse that the elevated potassium is due to one of the client's antihypertensives. The nurse anticipates that the client is most likely on which of the following antihypertensives? Deselect Answer Captopril Nifedipine Metoprolol Hydralazine None 7. The nurse connects the client to the cardiac monitor. Which of the following EKG findings should the nurse report to the physician immediately? Deselect Answer ST segment elevation The presence of Q waves PR interval of 0.18 Flipped T waves None 8. The nurse is interpreting the EKG rhythm and determines that the client is in sinus rhythm with first degree AV Block with a PR interval of 0.28. Which of the of the following medications is most likely to prolong the PR interval? Deselect Answer Nitroglycerin Morphine Metoprolol Aspirin None 9. The following EKG appears in the client's cardiac monitor. What is the priority intervention? Deselect Answer Notify the physician Apply nitroglycerin paste Apply Oxygen 4L via nasal cannula Administer morphine 4mg IVP None 10. The physician informs the nurse that the client will be taken for a cardiac catheterization. Which of the following is the priority intervention? Deselect Answer Educate the wife about the risks and benefits of cardiac catheterization Obtain informed consent Keep the client NPO Start a second peripheral IV None 11. The nurse recognizes that dysrhythmias are the most common complication of a myocardial infarct. The nurse interprets the following EKG rhythm as: Deselect Answer Atrial flutter supraventricular tachycardia Atrial fibrillation Ventricular tachycardia None 12. Which of the following findings is the most sensitivie indicator that the client is having an MI? Deselect Answer Troponin T 10 (normal < 0.4 ng/mL) WBC 15,000 (normal 4,000 to 11, 000) PT 18 seconds (normal 9 to 11 seconds) CK-MB 25 (normal 0-16 units/L) None 13. The client returns to the unit after having a coronary angiogram via the femoral artery. Which of the following findings should the nurse notify to the physician immediately? Deselect Answer respiratory rate 12 bpm Blood pressure 98/58 Heart rate 110 bpm Pedal pulse decreased from baseline on the affected extremity None 14. The client is fully awake from sedation given in the cardiac cath lab and starts moving and bending the affected extremity. Which of the following is the nurse's priority? Deselect Answer Assess the insertion site Obtain a comprehensive neurological assessment Measure vital signs Call the wife to calm down the client None 1 out of 1 Time's up
