Author Question: What diagnostic test should the nurse anticipate as the priority for a patient admitted with chest ... (Read 79 times)

AEWBW · **on:** Jun 25, 2018

What diagnostic test should the nurse anticipate as the priority for a patient admitted with chest pain to determine coronary artery status?

1. coronary angiography
2. stress electrocardiography
3. echocardiography
4. radionuclide testing

Question 2

While conducting an abdominal assessment, the nurse percusses a dull sound below the tenth rib at the left midaxillary line. What should the nurse suspect is occurring with this patient?

Select all that apply.

1. cancer
2. hemophilia
3. viral infection
4. blood dyscrasia
5. bacterial infection

Sweetkitty24130 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The gold standard for evaluating coronary arteries is coronary angiography. The other tests may be used, but are not the primary exam. A stress electrocardiogram will probably not be done until the angiography is completed and analyzed. An echocardiogram evaluates cardiac structure and function and not coronary arteries. Radionuclide testing evaluates myocardial perfusion and left ventricular function but does not specifically focus on the coronary arteries.

Answer to Question 2

Correct Answer: 1, 3, 4
A palpable spleen in the left upper abdominal quadrant of an adult may indicate abnormal enlargement (splenomegaly) and may be associated with cancer, blood dyscrasia, or viral infection, such as mononucleosis. Hemophilia is a genetic illness associated with abnormalities in the clotting mechanism. A palpable spleen is not associated with bacterial infection.