1. A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus
is scheduled for cardiac catheterization. Which medication would need to be withheld for
24 hours before the procedure and for 48 hours after the procedure?
1. Regular insulin
2. Glipizide (Glucotrol)
3. Repaglinide (Prandin)
4. Metformin (Glucophage)
4. Metformin (Glucophage)
2. The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS
complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06
second. The overall heart rate is 64 beats/minute. Which would be a correct interpretation
based on these characteristics?
1. Sinus bradycardia
2. Sick sinus syndrome
3. Normal sinus rhythm
4. First-degree heart block
3. Normal sinus rhythm
3. A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A
nurse sees no electrocardiographic complexes on the screen. Which is the priority action
of the nurse?
1. Call a code.
2. Call the health care provider.
3. Check the client's status and lead placement.
4. Press the recorder button on the electrocardiogram console.
3. Check the client's status and lead placement.
4. A client is having frequent premature ventricular contractions. The nurse should
place priority on assessment of which item?
1. Sensation of palpitations
2. Causative factors, such as caffeine
3. Precipitating factors, such as infection
4. Blood pressure and oxygen saturation
4. Blood pressure and oxygen saturation
5. The nurse is evaluating a client's response to cardioversion. Which observation would be
of highest priority to the nurse?
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