the nurse is caring for a client on enalapril vasotec what is the most important side effect to monitor
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Nursing Elites

ATI RN

Cardiovascular System Exam Questions

1. The nurse is caring for a client on enalapril (Vasotec). What is the most important side effect to monitor?

Correct answer: A

Rationale: The correct answer is A: Cough. Enalapril is an ACE inhibitor, and cough is a common side effect associated with this class of medication. Monitoring for cough is crucial as it can indicate the development of a potentially serious condition known as angioedema. Hyperkalemia (choice B) is a possible side effect of ACE inhibitors but is not the most important side effect to monitor. Hypotension (choice C) and dizziness (choice D) are also potential side effects of enalapril; however, cough takes precedence due to its association with angioedema, a severe adverse reaction.

2. What is a surgical procedure to remove one of the lobes of the lungs, often performed to treat lung cancer?

Correct answer: A

Rationale: A lobectomy is the correct answer. This surgical procedure involves removing one of the lobes of the lungs, commonly done to treat lung cancer or other serious lung ailments. Choice B, pneumonectomy, involves the complete removal of a lung, not just a lobe. Choice C, thoracotomy, is a surgical incision into the chest wall and is not specific to removing a lung lobe. Choice D, tracheostomy, is the creation of an opening in the windpipe to assist with breathing and is unrelated to lung lobe removal.

3. What is the average cardiac output?

Correct answer: B

Rationale: The correct answer is B: Approximately 4 to 8 L per minute. Cardiac output is defined as the volume of blood the heart pumps per minute, typically ranging between 4 to 8 liters. Choices A, C, and D provide ranges that are either too narrow or outside the standard average values for cardiac output, making them incorrect.

4. Which type of lung cancer is strongly associated with exposure to asbestos?

Correct answer: A

Rationale: The correct answer is Mesothelioma. This type of lung cancer is indeed strongly associated with exposure to asbestos, affecting the lining of the lungs or abdomen. Adenocarcinoma, Squamous cell carcinoma, and Small cell lung cancer are not primarily linked to asbestos exposure, making them incorrect choices for this question.

5. What procedure uses a catheter to open blocked coronary arteries and improve blood flow to the heart muscle?

Correct answer: A

Rationale: The correct answer is A, Angioplasty. Angioplasty is a procedure where a catheter is used to open blocked coronary arteries and may involve the insertion of a stent to improve blood flow to the heart muscle. Stent placement (B) is a related procedure but specifically refers to the insertion of a stent. Coronary artery bypass graft (CABG) (C) is a surgical procedure that uses blood vessels to bypass blocked coronary arteries. Valve replacement (D) is a different procedure that involves replacing a heart valve, not opening blocked coronary arteries.

Similar Questions

The client on warfarin has an INR of 4.5. What is the most appropriate action by the nurse?
What procedure uses a catheter to open up a blocked or narrowed coronary artery, often involving the placement of a stent?
What term refers to the degree of myocardial fiber stretch before contraction, related to the volume of blood distending the ventricles at the end of diastole, and determined by the amount of venous return?
The nurse is giving a client an IV bolus of heparin. What is the most important nursing action?
Which condition is an infection that inflames the air sacs in one or both lungs, which may fill with fluid?

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