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Question # 56

Before a patient undergoes elective carotid endarterectomy, the nurse’s pre-operative priorities include:

Options:

A.

Verification of informed consent, baseline neurologic assessment, blood-pressure control within prescribed parameters, and confirmation of antiplatelet therapy as ordered

B.

Encouraging the patient to stop all antiplatelet agents

C.

Restricting all oral intake for 24 hours without exception

D.

Omitting the neurologic examination

Question # 57

A patient being discharged after PCI with stent placement is prescribed dual antiplatelet therapy for at least 12 months. The most critical discharge teaching point is:

Options:

A.

“You may stop the P2Y12 inhibitor after one month if you feel well.”

B.

“Do not discontinue either antiplatelet agent without discussing it with your cardiologist, because premature cessation significantly increases the risk of stent thrombosis.”

C.

“Aspirin can be stopped if bruising occurs.”

D.

“These medications are optional.”

Question # 58

When teaching a patient with newly diagnosed hypertension about lifestyle modification, the nurse includes which evidence-based recommendation?

Options:

A.

Sodium restriction to less than 2 300 mg (ideally 1 500 mg) per day, regular aerobic physical activity, weight management, and moderation of alcohol intake

B.

Unrestricted salt use

C.

Complete avoidance of all exercise

D.

High-dose vitamin supplementation as primary therapy

Question # 59

A patient with limited health literacy needs instruction on sublingual nitroglycerin use. The most effective teaching method is:

Options:

A.

Providing only the detailed package insert

B.

Using simple language, demonstrating the steps, employing teach-back, and emphasizing critical safety points (sit down, take one tablet every 5 minutes for up to three doses, call emergency services if pain continues)

C.

Assuming understanding after a single verbal explanation

D.

Using complex medical terminology to ensure precision

Question # 60

A patient receiving continuous heparin develops a platelet count drop of more than 50 % from baseline and has a positive HIT antibody. The nurse’s immediate action is to:

Options:

A.

Continue heparin

B.

Stop all heparin products, notify the provider, and initiate an alternative non-heparin anticoagulant as ordered

C.

Administer platelets prophylactically

D.

Increase the heparin dose

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CV-BC Overview

Name Cardiac-Vascular Nursing Certification
Code CV-BC
Vendor Nursing
Certification American Nurses Credentialing Center (ANCC)

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