Cardiac

A client is scheduled to undergo percutaneous transluminal coronary angioplasty (PTCA). Which statement by the nurse best explains the procedure to the client?

"PTCA involves opening a blocked artery with an inflatable balloon located on the end of a catheter."

The nurse is assessing a client who is at risk for cardiac tamponade from chest trauma sustained in a motorcycle accident. What is the client's pulse pressure if his blood pressure is 108/82 mm Hg? Record your answer using a whole number.

26

The nurse is admitting an older adult to the hospital. The echocardiogram report revealed left ventricular enlargement. The nurse notes 2+ pitting edema in the ankles when getting the client into bed. Based on this finding, what should the nurse do first?

Assess respiratory status.

The nurse is caring for a client in the intensive care unit. Which drug is most commonly used to treat cardiogenic shock?

Dopamine

A client with a history of coronary artery disease (CAD) has been diagnosed with peripheral arterial disease. The health care provider (HCP) started the client on pentoxifylline once daily. Approximately 1 hour after receiving the initial dose of pentoxifylline, the client reports having chest pain. The nurse should first:

Inform the HCP.

The nurse is admitting a client with substernal chest pain. Which diagnostic tests does the nurse anticipate the client will receive to confirm or rule out a diagnosis of myocardial infarction (MI)? Select all that apply:

Serum troponin Serum myoglobin

Metoprolol is added to the pharmacologic therapy of a woman with diabetes diagnosed with stage 2 hypertension and initially treated with furosemide and ramipril. An expected therapeutic effect is:

decrease in heart rate.

Which activity is least effective in preventing sensory deprivation during a client's stay in the cardiac care unit?

keeping the door closed to provide privacy

A nurse is assessing a client with aortic stenosis. The nurse expects to hear a murmur that is:

loud and rough during systole.

A client with migraine headaches and a history of angina asks the nurse why the physician does not prescribe one of the newer medications for migraine, such as sumatriptan. The nurse responds that:

sumatriptan is contraindicated in clients with angina.