NCLEX-RN
Exam for RN Cardiovascular NCLEX Exam Questions
Extract:
The following scenario applies to the next 1 items
The nurse in the intensive care unit (ICU) is caring for a 41-year-old male client.
Item 1 of 1
Progress Notes
1544: Received client to ICU immediately following percutaneous transluminal coronary angioplasty followed by stenting via right femoral artery. Notified primary health care provider about client status. Awaiting orders.
The nurse contacts the primary healthcare provider for admission orders
Question 1 of 5
For each potential order, click to specify whether the potential order is indicated or not indicated for the client post-percutaneous transluminal coronary angioplasty.
Potential orders | Indicated | Not indicated |
---|---|---|
Head of the bed elevated up to 30 degrees | ||
Elevate the right leg on a pillow | ||
Continuous cardiac monitoring | ||
Serial troponin levels | ||
Keep the client NPO | ||
Obtain serum glucose levels every two hours |
Correct Answer: A,C,D,F
Rationale: A: Indicated - Elevating the head of the bed promotes comfort and reduces cardiac workload. B: Not indicated - Elevating the leg is not standard post-angioplasty unless specified for complications. C: Indicated - Continuous monitoring detects arrhythmias post-procedure. D: Indicated - Serial troponin levels monitor for myocardial injury. E: Not indicated - NPO status is typically temporary and not required post-procedure unless specified. F: Indicated - Glucose monitoring is crucial for diabetic patients or those at risk post-procedure.
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Question 2 of 5
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Question 3 of 5
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Question 5 of 5
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