A nurse is providing education to a client who has asked what a transesophageal echocardiogram will determine. Which of the following statements should the nurse utilize to best answer the client?
This procedure will detect ventricular thrombi.
This procedure will determine heart conduction problems.
This procedure will determine exercise tolerance.
This procedure will detect blood flow to the distal extremities.
The Correct Answer is A
Rationale:
A. A transesophageal echocardiogram (TEE) is a specialized echocardiographic procedure that provides detailed images of the heart, including the atria and ventricles. It is particularly useful for detecting ventricular thrombi (blood clots) that may not be visualized as well with transthoracic echocardiography.
B. While an echocardiogram can provide information about heart function, including conduction problems, a TEE is not typically used specifically for this purpose.
C. Exercise tolerance is typically assessed through exercise stress testing or other exercise- related procedures, not with a TEE.
D. Blood flow to the distal extremities is not directly assessed with a TEE. This procedure primarily focuses on evaluating cardiac structure and function.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Aspirin typically does not produce bradycardia. Its primary action is not on heart rate regulation.
B. Aspirin primarily reduces the risk of clot formation by inhibiting platelet aggregation, but it does not directly decrease oxygen demand.
C. Aspirin inhibits platelet aggregation, which helps prevent blood clot formation, especially in the context of cardiac events such as heart attacks.
D. Aspirin may have a mild effect on blood pressure, but its primary action in the context of cardiac events is related to its antiplatelet properties rather than blood pressure regulation.
Correct Answer is A
Explanation
Rationale:
A. Completing an electrocardiogram (ECG) is a priority in assessing a patient with chest pain to evaluate for signs of acute myocardial infarction or other cardiac abnormalities.
B. Obtaining a C-reactive protein level may be useful in certain situations to assess inflammation, but it is not a priority in the acute management of chest pain.
C. Administering an anti-hypertensive medication is not a priority unless the patient's blood pressure is significantly elevated and causing acute symptoms.
D. Completing an echocardiogram may be indicated later in the assessment process but is not typically performed immediately in the emergency room for evaluation of chest pain.
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