An emergency room nurse assesses a female client. Which ...

[maychende]

An emergency room nurse assesses a female client. Which assessment findings should alert the nurse to request a prescription for an electrocardiogram? (Select all that apply.)
 
  a. Hypertension
  b. Fatigue despite adequate rest
  c. Indigestion
  d. Abdominal pain
  e. Shortness of breath

Question 2

A nurse is caring for a client with a history of renal insufficiency who is scheduled for a cardiac catheterization. Which actions should the nurse take prior to the catheterization? (Select all that apply.)
 
  a. Assess for allergies to iodine.
  b. Administer intravenous fluids.
  c. Assess blood urea nitrogen (BUN) and creatinine results.
  d. Insert a Foley catheter.
  e. Administer a prophylactic antibiotic.
  f.
  Insert a central venous catheter.

[daiying98]

Answer to Question 1

ANS: B, C, E
Women may not have chest pain with myocardial infarction, but may feel discomfort or indigestion. They often present with a triad of symptomsindigestion or feeling of abdominal fullness, feeling of chronic fatigue despite adequate rest, and feeling unable to catch their breath. Frequently, women are not diagnosed and therefore are not treated adequately. Hypertension and abdominal pain are not associated with acute coronary syndrome.

Answer to Question 2

ANS: A, B, C
If the client has kidney disease (as indicated by BUN and creatinine results), fluids and Mucomyst may be given 12 to 24 hours before the procedure for renal protection. The client should be assessed for allergies to iodine, including shellfish; the contrast medium used during the catheterization contains iodine. A Foley catheter and central venous catheter are not required for the procedure and would only increase the client's risk for infection. Prophylactic antibiotics are not administered prior to a cardiac catheterization.

[maychende]

Correct answers!

[daiying98]

Great! Please up vote