During treatment with reteplase (Retavase) for a patient with a STEMI, which finding should most concern the nurse?

Questions 21

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Med-Surg Cardiovascular Test Bank Questions

Question 1 of 5

During treatment with reteplase (Retavase) for a patient with a STEMI, which finding should most concern the nurse?

Correct Answer: A

Rationale: Bleeding is a major concern with thrombolytics.

Question 2 of 5

Which manifestation is an indication that a patient is having a hypertensive emergency?

Correct Answer: C

Rationale: Neurological deficits signal imminent organ damage.

Question 3 of 5

Priority Decision: The nurse caring for a patient immediately following a transesophageal echocardiogram (TEE) should consider which action the highest priority?

Correct Answer: D

Rationale: Ensuring airway safety is paramount post-procedure.

Question 4 of 5

The nurse suspects the patient is in cardiogenic shock based upon which of the following findings?

Correct Answer: A

Rationale: Cardiogenic shock is caused by a decrease in the pumping ability of the myocardium. Decreased or muffled heart sounds would be indicative of fluid restricting the pericardial sac, causing the heart to beat ineffectively.

Question 5 of 5

Your interpretation of increased frequency of angina attacks in Mrs. Payer is that

Correct Answer: B

Rationale: Increased frequency suggests worsening ischemia.

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