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- A patient with a history of myocardial infarction complains of chest pain radiating to the left arm. Which action should the nurse take first? a) Administer oxygen b) Obtain an ECG c) Administer aspirin d) Administer nitroglycerin.During the peripheral vascular procedure, there are duties for the surgical technologist.Identify the actions to take for each of these events. EVENTS PRECAUTIONS OR ACTIONS TO TAKE WHAT IS USED? a.) Arteriotomy b.) Use of Dacron knitted graft c.) Placement of a vessel loop d.) Angiography e.) Passing ties on passers or hemoclipsWhat is a critical factor in the care of a patient with a do not resuscitate (DNR) order? A) Ensuring all staff are aware of the DNR status B) Withholding all medications and treatments C) Ignoring the patient’s comfort needs D) Encouraging family to reconsider the decision
- 19) myocardial infraction is a heart attack. A) true B) FalseWhile inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asapFor a patient receiving a vasoactive drug such as intravenous dopamine, which action by the nurse is most appropriate? a) Monitor the gravity drip infusion closely, and adjust as needed. b) Assess the patient’s cardiac function by checking the radial pulse. c) Assess the intravenous site hourly for possible infiltration. d) Administer the drug by intravenous boluses according to the patient’s blood pressure
- Which of the following is a characteristic complication associated with cystic medial degeneration of the aorta? A) esophageal varices B) Hemo pericardium C) myocardial infarct D) pulmonary infarct E) subarachnoid hemorrhageFor a patient experiencing dyspnea, which nursing action is appropriate? A) Restrict fluids to reduce the workload on the heart B) Place the patient in a supine position to facilitate comfort C) Administer oxygen therapy as prescribed D) Encourage deep breathing exercises only during the dayThe nurse is monitoring a patient -ho is receiving antithrombolytic therapy in the emergency department because of a possible MI. Which adverse effect -ould be of the greatest concern at this time? a )Dizzinessb )Blood pressure of 130/98 mm Hgc )Slight bloody oozing from the IV insertion sited )Irregular heart rhythm
- The nurse is administering an intravenous infusion of a phosphodiesterase inhibitor to a patient who has heart failure. The nurse will evaluate the patient for which therapeutic effects? (Select all that apply.)a) Positive inotropic effectsb) Vasodilationc) Decreased heart rated) Increased blood pressuree) Positive chronotropic effectsIf extravasation of an antineopastic medication occurs, which intervention wi the nurse perform first?a )Appy cod compresses to the site whie eevating the arm.b) Inject subcutaneous doses of epinephrine around the IV site every 2 hours.c )Stop the infusion immediatey whie eaving the catheter in pace.d )Inject the appropriate antidote through the IV catheterThe nurse is preparing to give medications. Which is the most appropriate nursing action for intravenous (IV) phenytoin (Dilantin)?a )Give IV doses via rapid IV push.b) Administer in normal saline solutions.c )Administer in dextrose solutions.d )Ensure continuous infusion of the drug.