ATI MED-SURGE CARDIO. PREP FOR EXAM #1 + QUESTIONS IN
QUIZ WITH VERIFIED SOLUTIONS WITH RATIONALE
1. A nurse is assisting in the plan of care for a client who is having percutaneous transluminal coronary
angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in
the postoperative plan of care?
a. Reinforce teaching with the client about a long-term conditioning program
b. Administer scheduled doses of acetaminophen
c. Check for peak laboratory markers of myocardial
damage d. Initiate an aspirin regimen
Rationale: D. The nurse should plan to initiate an aspirin regimen or another antiplatelet agent. The antiplatelet
medication maintains the patency of the stent by reducing platelet aggregation.
2. A nurse is monitoring a client who takes aspirin 81mg PO daily. The nurse should identify which of the
following manifestations as adverse effects of daily aspirin therapy? (Select all that apply.)
a. Hypertension
b. Coffee-ground emesis
c. Tinnitus
d. Paresthesias of the extremities
e. Nausea
Rationale: GI bleeding with dark stools or coffee-ground emesis is an adverse effect of aspirin therapy.
Tinnitus and hearing loss can occur as an adverse effect of aspirin therapy.
Nausea, vomiting, and abdominal pain can occur as a result of aspirin therapy.
3. A nurse is reviewing the laboratory findings of a client who has myocardial infarction (MI) and reports
that dyspnea began 2 weeks ago. Which of the following cardiac enzymes would confirm the MI
occurred 14 days ago?
a. CKMB
b. Troponin I
c. Troponin T
d. Myoglobin
Rationale: Troponin T levels will still be evident 10-14 days following an MI.
4. A healthcare professional is caring for a patient who is about to begin taking ethacrynic acid (Edecrin) to
treat heart failure. The health care professional should tell the patient to report which of the following
indications of a potentially serious adverse reaction?
a. Shortness of breath
b. Hearing loss
c. Swelling in the legs
d. Blurred Vision