CCT Cardiac Exam Questions And Answers 100% Correct Latest Update
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CCT Cardiac
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CCT Cardiac
CCT Cardiac Exam Questions And Answers 100%
Correct Latest UpdateThe client is admitted to the emergency department with chest pain and shortness of
breath. After an electrocardiogram, it is determined that the client is experiencing a
myocardial infarction. The client is going to have an emerge...
CCT Cardiac Exam Questions And Answers 100%
Correct Latest Update
The client is admitted to the emergency department with chest pain and shortness of
breath. After an electrocardiogram, it is determined that the client is experiencing a
myocardial infarction. The client is going to have an emergency cardiac catheterization
performed. The nurse should include which of the following in the pre-procedure
teaching?
1. Mild sedation is maintained during the procedure.
2. The procedure will take approximately 15 minutes to complete.
3. Ambulation is encouraged shortly after the procedure.
4. The blockage will be seen in about 24 hours. -ANSWER Correct
1. Light sedation is maintained throughout the procedure.
A client is admitted to the cardiac care unit with an anterior lateral myocardial
infarction. The health care provider orders 500 mL of D5W with 50 mg of nitroglycerin to
be delivered intravenously for pain relief. For what most common side effect of this
medication should the nurse assess?
1. Nausea
2. Syncope
3. Bradycardia
4. Hypotension - ANSWER 4. Hypotension
Nitrostat IV (intravenous nitroglycerin) exerts its major effect through venous and then
arterial dilation resulting in hypotension. Nausea is not a common adverse effect of
intravenous nitroglycerin. Syncope is an uncommon effect associated with the
administration of nitroglycerin intravenously. Tachycardia can occur due to the reflex
caused by the reduction in blood pressure.
A health care provider prescribes t-PA intravenously over one hour for a client who is
having a myocardial infarction. The nursing priority that relates specifically to this
medication is to monitor the client's:
,AGRADESTUVIA
1. Respiratory rate
2. Peripheral pulses
3. Level of consciousness
4. Intravenous insertion site - ANS 4. Intravenous insertion site
The most common adverse effect of a tissue plasminogen activator is bleeding because
of the thrombolytic action of the drug. Even though assessment of the respiratory rate,
peripheral pulses or the level of consciousness are important for any client with a
decreased cardiac output, it is not specific to the administration of a tissue plasminogen
activator.
A patient with established type 1 diabetes mellitus takes Novolin 70/30 (70% Novolin N
and 30% Novolin R) each morning. Before lunch at 11:30 AM, the patient is brought to
the emergency department with an acute myocardial infarction. At 1:30 PM, the
patient's serum glucose is 30 mg/dL, and insulin coma is diagnosed. The nurse
establishes that the cause of the acute hypoglycemia was due to the fact that:
1. Because the client had not eaten lunch, glycogenolysis was increased following the
morning insulin taken by the client
2. Because of the stressful effect of chest pain, there is an increase in the use of serum
glucose available to the client
3. Because the client is taking insulin injections and not an oral antidiabetic, the client's
level of glucose fell faster
4. In response to chronic administration of insulin, the client's body became sensitive to
the dose of insulin, which abruptly lowered the blood glucose level - ANSWER Correct
3. Because the client is taking insulin shots rather then an oral antidiabetic, the client's
glucose level dropped more quickly
The dose of exogenous insulin results in a sudden decrease of the blood glucose level,
especially in conditions of not taking food. If the lunch is not taken following the
administration of Novolin N insulin, it leads to hyperglycemia. Stress usually increases
the level of hyperglycemia because of glycogenolysis and gluconeogenesis. Prolonged
therapy with insulin does not lead to tolerance against insulin nor cause severe
variations in the blood glucose level.
The client who has had a myocardial infarction and has also been diagnosed with atrial
tachycardia is ordered sublingual nitroglycerin. The nurse teaches the client about the
, AGRADESTUVIA
prophylactic use of these tablets. The statement by the client that reflects effective
teaching is, "I should:
1. take the medicine three times a day."
2. avoid activities that are too strenuous."
3. be sure to take my pulse after I have exercised."
4. take one tablet before attempting to climb two flights of stairs." ANSWER 4. take one
tablet before attempting to climb two flights of stairs."
The response about taking one tablet before attempting to climb two flights of stairs
leads one to believe that the client understood the nurse's teaching. Taking a
nitroglycerin tablet before such an activity probably will prevent an episode of angina.
This would be an example of prophylactic use of a medication. Taking the medicine
three times a day is a scheduled administration of a medication, not a prophylactic use.
The statement to avoid activities that are too strenuous indicates avoidance of activity
rather than taking medication to prevent angina during the activity. Blood pressure, not
pulse, is the parameter most affected by nitroglycerin.
A nurse begins to implement a plan of care with a client who has left ventricular heart
failure due to a myocardial infarction (MI). What should be the priority focus of the plan
during the acute phase of recovery?
1. Increasing activity tolerance
2. Preventing cardiac dysrhythmias
3. Promoting physical and emotional rest
4. Minimizing potassium and sodium intake - ANSERWER Correct
3. Ensuring physical and emotional rest
Acute phase of illness post MI: The major purpose is to decrease workload of the heart
and physical and emotional rest decreases cardiac oxygen demand. The rehabilitative
phase of an MI is the time when the primary focus is to increase activity tolerance. There
is no evidence to indicate that this client has a history of dysrhythmias; however
maintenance of potassium intake is important. Sodium should be limited during the
acute phase of illness to decrease fluid retention which increases workload on the
heart.
A client is recovering from a myocardial infarction. The nurse must do which of the
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