The patient presents to the ED with severe chest discomfort. A cardiac catheterization and angiography shows an 90% occlusion of the left main coronary artery. Which procedure will be most likely performed on this patient?

Coronary artery bypass graft surgery

Radiofrequency catheter ablation

Implantable cardioverter-defibrillator placement

Circulatory assist device

Answer and Explanation

The Correct Answer is A

A. Coronary artery bypass graft (CABG) surgery is typically recommended for patients with significant occlusion of the left main coronary artery, as it effectively restores blood flow to the heart muscle by bypassing the blocked artery.

B. Radiofrequency catheter ablation is used to treat arrhythmias, not coronary artery occlusions.

C. Implantable cardioverter-defibrillator (ICD) placement is for managing life-threatening arrhythmias, not directly for treating coronary artery blockages.

D. A circulatory assist device is used in severe cases of heart failure, but it does not address the underlying issue of coronary artery occlusion.

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Correct Answer is D

Explanation

A. This response may make the spouse feel pressured by implying that religion should not be a concern, which may not be respectful of the spouse's beliefs.

B. This statement is coercive, focusing on the shortage of organs rather than on the spouse's feelings and the wishes of the deceased.

C. Suggesting that donating organs will make the spouse feel better can be seen as manipulative and may not truly address the spouse's confusion or emotions.

D. Asking what the spouse thinks the deceased would have wanted is appropriate, as it centers on the values and wishes of the deceased, which can guide the spouse in making an informed decision.

A. notifying the provider if a 2-lb weight gain occurs in 24 hours. B. taking nitroglycerin if chest pain occurs. C. assessment of an apical pulse. D. compliance with diuretic therapy.

Correct Answer is A

Explanation

A. Sudden weight gain can indicate fluid retention, a common early sign of heart failure exacerbation. Prompt reporting allows for early intervention.

B. Nitroglycerin is used to treat chest pain, not specifically to prevent heart failure exacerbations.

C. Assessment of the apical pulse is important, but monitoring weight is more directly related to managing heart failure.

D. Compliance with diuretic therapy is important, but recognizing early signs of fluid retention, such as rapid weight gain, is crucial for preventing exacerbations.

View Question and Answer

A nurse is caring for a client who has heart failure.

<div id="exhibits">Exhibits</div>

For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.

View Question and Answer

A nurse is caring for a client in the emergency department (ED).

<div id="exhibits">Exhibits</div>

The nurse is planning care for the client. For each potential prescription, indicate whether it is an anticipated (high priority), nonessential (low priority), contraindicated(unrelated).

Select one or more in each option.

View Question and Answer

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The patient presents to the ED with severe chest discomfort. A cardiac catheterization and angiography shows an 90% occlusion of the left main coronary artery. Which procedure will be most likely performed on this patient?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

An essential aspect of teaching that may prevent recurrence of heart failure exacerbations is

Correct Answer is A

Explanation

Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)

A nurse is caring for a client who has heart failure. <div id="exhibits">Exhibits</div> For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.

The nurse is caring for a patient with a left radial arterial line and a pulmonary artery catheter inserted into the right subclavian vein. Which action by the nurse best ensures the safety of the patient being monitored with invasive hemodynamic monitoring lines?

While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?

A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?

The patient presents to the ED with severe chest discomfort. A cardiac catheterization and angiography shows an 90% occlusion of the left main coronary artery. Which procedure will be most likely performed on this patient?