NUR2790-Study guide 4- Rasmussen College Chapter 38: Care of Patients with Acute Coronary Syndromes MULTIPLE CHOICE Study guide
Chapter 38: Care of Patients with Acute Coronary Syndromes
MULTIPLE CHOICE
1. A client
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NUR2790-Study guide 4- Rasmussen College Chapter 38: Care of Patients with Acute Coronary Syndromes MULTIPLE CHOICE Study guide
Chapter 38: Care of Patients with Acute Coronary Syndromes
MULTIPLE CHOICE
1. A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the client to be
disoriented to person, place, and time. What action by the nurse is best?
c. Stop the infusion and call the provider.
2. A client received tissue plasminogen activator (t-PA) after a myocardial infarction and now is on an
intravenous infusion of heparin. The clients spouse asks why the client needs this medication. What response by the
nurse is best?
b. The heparin keeps that artery from getting blocked again.
3. A client is in the hospital after suffering a myocardial infarction and has bathroom privileges. The nurse
assists the client to the bathroom and notes the clients O2 saturation to be 95%, pulse 88 beats/min, and
respiratory rate 16 breaths/min after returning to bed. What action by the nurse is best?
b. Allow continued bathroom privileges.
4. A nursing student is caring for a client who had a myocardial infarction. The student is confused because the
client states nothing is wrong and yet listens attentively while the student provides education on lifestyle changes
and healthy menu choices. What response by the faculty member is best?
a. Continue to educate the client on possible healthy changes.
5. A client undergoing hemodynamic monitoring after a myocardial infarction has a right atrial pressure of 0.5 mm
Hg. What action by the nurse is most appropriate?
d. Prepare to administer a fluid bolus.
6. A client has hemodynamic monitoring after a myocardial infarction. What safety precaution does the nurse
implement for this client?
b. Ensure the balloon does not remain wedged.
Continued..............
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