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Question # 76

When coordinating care for a patient after uncomplicated PCI, the nurse prioritizes:

Options:

A.

Dual antiplatelet therapy education, activity guidelines, cardiac rehabilitation referral, and clear instructions on when to seek emergency care

B.

Advising the patient to stop all medications after one week

C.

Restricting all follow-up

D.

Encouraging immediate return to heavy lifting

Question # 77

A patient with STEMI is being prepared for primary PCI. The nurse’s highest priority is to:

Options:

A.

Ensure dual antiplatelet therapy has been administered and the patient is transferred to the catheterization laboratory within the recommended door-to-balloon time

B.

Complete a detailed social history before any treatment

C.

Administer a full meal

D.

Delay transfer until after a routine chest radiograph

Question # 78

A patient with acute coronary syndrome is ordered dual antiplatelet therapy and anticoagulation. The nurse’s priority safety actions include:

Options:

A.

Monitoring for bleeding at access sites, gastrointestinal and genitourinary sources, and neurologic changes while maintaining prescribed therapy

B.

Encouraging intramuscular injections

C.

Discontinuing all antiplatelet agents immediately

D.

Ignoring minor oozing

Question # 79

Which approach best addresses limited health literacy when teaching a patient about nitroglycerin use for angina?

Options:

A.

Provide a lengthy written package insert only

B.

Use simple language, demonstrate the steps, employ the teach-back method, and limit the session to the most critical safety points (sit down, take one tablet every 5 minutes up to three doses, call emergency services if pain persists)

C.

Assume understanding after a single verbal explanation

D.

Use complex medical terminology to ensure accuracy

Question # 80

A patient is scheduled for elective percutaneous coronary intervention. The nurse reviews the medication list and notes the patient has been taking metformin. The most appropriate action is:

Options:

A.

Continue metformin without change

B.

Hold metformin the morning of the procedure and for 48 hours afterward (or per institutional protocol) because of the risk of lactic acidosis if contrast-induced nephropathy occurs

C.

Double the metformin dose

D.

Switch to insulin permanently

Viewing page 16 out of 17 pages

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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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