Your client with unstable angina who is going for a heart catheterization asks you why the procedure is being done. You explain it will: Select all that apply
1. Provide information about structural abnormalities in the heart.
2. Diagnose plaque build-up in the coronary arteries.
3. Assist in the diagnosis of heart failure.
4. Diagnose valve disorders.
5. Assess ventricular septal defects.
1. Provide information about structural abnormalities in the heart.
2. Diagnose plaque build-up in the coronary arteries.
3. Assist in the diagnosis of heart failure.
4. Diagnose valve disorders.
Rationale: Provide information about structural abnormalities in the heart. Dye is injected into the heart chambers to obtain information about chamber size and the anatomy of the great vessels, which helps determine structural abnormalities. Diagnose plaque build-up in the coronary arteries. The patency of coronary arteries is evaluated by injecting dye into the arteries; this provides information about the lumen patency, which is used to evaluate the extent of coronary artery disease. Assist in the diagnosis of heart failure. Hemodynamic pressures can be measured and used to evaluate for heart failure and pulmonary function. Diagnose valve disorders. Pressure gradients across valves evaluate the extent of stenosis or regurgitation. Assess ventricular septal defects. Dye is injected into the right ventricle and images are obtained to determine if the dye follows the normal blood flow pattern or if it goes directly from the right ventricle to the left ventricle. The right-to-left ventricular flow pattern indicates that there is a hole in the septum.
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A nurse interacts with a newly hospitalized patient. Select the example of offering self
a. "I've also had traumatic life experiences. Maybe it would help if I told you about them." b. "Why do you think you had so much difficulty adjusting to this change in your life?" c. "I hope you will feel better after getting accustomed to how this unit operates." d. "I'd like to sit with you for a while to help you get comfortable talking to me."
The nurse suspects a patient has a pleural effusion. Which of the following respiratory findings would the nurse expect to find upon assessment of the patient?
A) Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest wall B) Decreased tactile fremitus, wheezes, and a hyperresonant sound upon percussion of the chest wall C) Lung fields dull to percussion, tactile fremitus absent, and breath sounds absent D) Normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion of the chest wall
What makes up the refractive media of the eye? (Select all that apply.)
a. Aqueous humor b. Retina c. Vitreous humor d. Cornea e. Lens
With which client should you always be alert for the possibility of pulmonary problems or pulmonary complications?
A. African Americans B. Native Americans C. Asians D. Whites