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NCLEX RN Case Study Cardiovascular A++ Graded Top Tier Questions and Their Correctly Answered Questions $8.29   Add to cart

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NCLEX RN Case Study Cardiovascular A++ Graded Top Tier Questions and Their Correctly Answered Questions

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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. Regular insulin 2. Glipizide (Glucotrol) ...

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  • August 16, 2024
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  • 2024/2025
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NCLEX RN Case Study Cardiovascular A++ Graded

Top Tier Questions and Their Correctly Answered

Questions

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. Regular insulin

2. Glipizide (Glucotrol)

3. Repaglinide (Prandin)


4. Metformin (Glucophage) - CORRECT ANSWER ✔✔ -ANS: 4


Rationale: Metformin (Glucophage) needs to be withheld 24 hours before and for 48 hours after

cardiac catheterization because of the injection of contrast medium during the procedure. If the

contrast medium affects kidney function, with metformin in the system, the client would be at

increased risk for lactic acidosis. The medications in the remaining options do not need to be

withheld 24 hours before and 48

hours after cardiac catheterization.

A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees

no electrocardiographic complexes on the screen. Which is the priority action of the nurse?

, 703

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. - CORRECT ANSWER ✔✔ -


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 and the serum creatinine level is 2.2 mg/dL. 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 - CORRECT ANSWER ✔✔ -ANS: 2


Rationale: The client who undergoes cardiac surgery is at risk for renal injury from poor

perfusion, hemolysis, low cardiac output, or

vasopressor medication therapy. Renal injury is signaled by decreased urine output and increased

blood urea nitrogen and creatinine levels. The client may need medications to increase renal

perfusion and possibly could need peritoneal dialysis or hemodialysis. No data in the

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