Swift River Medical Surgical Exam

Swift River Medical Surgical Exam V3 Scenarios (Latest Update 2025 / 2026) Questions and Verified Answers | Grade A | 100% Correct

Question:

Jose Martinez

Started on thrombolytic therapy. Nursing actions?

Answer:

Correct Monitor hgb levels Remove continual monitoring BP cuff Limit number of venipunctures Monitor for hypotension

Incorrect Avoid Subq injections Observe for bradycardia

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Question:

Jose Martinez

Has been receiving thrombolytic therapy. scheduled for PCTA Information for patient that the nurse should include?

Answer:

Correct You might experience palpitations during procedure You might feel the sensation to want to cough A catheter is inserted to determine heart blockage Metal mesh (stents) can be placed where the artery may want to close.

Incorrect You will receive general anesthesia for this procedure The catheter is inserted in your carotid artery

Question:

Jose Martinez

Pain 5/10 BP 148/88, RR 20, HR 120, ox sat 93%, troponin 1.0ng/mL

Receiving: 3rd Nitro

Sinus tach, ST elevation 2 / 3

Contraindications for thrombolytic therapy?

Answer:

Correct Surgery in last month Use of anticoagulants Uncontrolled hypertension Active peptic ulcer

Incorrect Infection COPD

Question:

Jose Martinez

Returned from cath lab

• stents placed, sheath in place in femoral artery

Nurse's actions?

Answer:

Correct Ensure client is on bedrest for 6 hr Monitor the client's urinary output is greater than 30 mL/hr

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