What assessment finding requires immediate intervention when preparing to administer dobutamine to a client in acute heart failure?

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Cardiovascular Assessment Nursing Questions Questions

Question 1 of 5

What assessment finding requires immediate intervention when preparing to administer dobutamine to a client in acute heart failure?

Correct Answer: C

Rationale: Chest pain and ECG changes suggest possible myocardial ischemia, requiring immediate intervention.

Question 2 of 5

What is the nurse's priority action for a client with atrial fibrillation prescribed warfarin and amiodarone?

Correct Answer: A

Rationale: Amiodarone can increase the effects of warfarin, putting the client at a higher risk for bleeding.

Question 3 of 5

The only veins in the body that carry oxygenated blood are the:

Correct Answer: B

Rationale: The pulmonary veins are unique in carrying oxygenated blood from the lungs to the heart.

Question 4 of 5

What is the single most informative study in patients with medically refractory GERD?

Correct Answer: B

Rationale: In medically refractory GERD, pH monitoring is the most informative study to quantify acid reflux and correlate it with symptoms, guiding further management like surgery. EGD assesses complications but is less definitive for reflux severity.

Question 5 of 5

A 70-year-old male with a history of diabetes presents with sudden onset of severe chest pain radiating to the back. A CT scan shows a dissection flap in the ascending aorta. What is the most appropriate initial management?

Correct Answer: A

Rationale: An ascending aortic dissection is a surgical emergency due to the risk of rupture and cardiac tamponade. Immediate surgery is required.

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