Regadenoson Case Study

Question 1

What is the first step when getting Ms. Jones from the lobby?

Accepted Answer

Look at the patient's wristband. Ask the patient her name and date of birth

Question 2

Ms. Jones' blood pressure is 95/60. What is your next step?

Accepted Answer

Ask Ms. Jones how she is feeling today and what her normal BP is.

Question 3

Ms. Jones is an 85-year-old patient referred for a regadenoson stress test by her doctor due to episodes of chest pain.

Accepted Answer

next slide, next slide, next slide, next slide

Question 4

You administered the inhaler. What can we do while waiting for the inhaler to take effect?

Accepted Answer

Begin explaining the procedure to Ms. Jones, Begin hooking Ms. Jones up to the GE machine to assess her rhythm

Question 5

Ms. Jones is all prepped and ready for her test. You can now let the nuclear tech know you are ready!

Accepted Answer

True

Question 6

Ms. Jones says she doesn't really understand the test but she will sign anyway. What should the nurse do?

Accepted Answer

Attempt to explain the test to Ms. Jones again, answering any questions

Question 7

Ms. Jones states she last used her inhaler two nights ago. Shes states her breathing feels okay. What is your next step?

Accepted Answer

Auscultate Ms. Jones lungs

Question 8

Ms. Jones is in the stress room. What are the next steps for prepping Ms. Jones?

Accepted Answer

Assess whether Ms. Jones is appropriate for the procedure

Question 9

This is Ms. Jones EKG. She has not been seen by a cardiology before. What is your next step?

Accepted Answer

Consult the physician for EKG review

Question 10

You explained the procedure again to Ms. Jones and she says she understands the test. We are now safe to proceed.

Accepted Answer

True

Question 11

The physician says Ms. Jones is okay for the stress test. You obtain IV access. What is our last step?

Accepted Answer

Address any concerns Ms. Jones has about the test, Go over the test one more time, Answer any last questions Ms. Jones may have

Question 12

You recheck Ms. Jones' blood pressure. It is now 99/62. What should you do next?

Accepted Answer

Consult the physician to see if he or she feels okay with proceeding

Question 13

Ms. Jones states she is not claustrophobic. She states she is able to lift her left arm up above her head. What is next?

Accepted Answer

We can obtain IV access, We can begin hooking up Ms. Jones to the GE machine., We can thoroughly explain the test to Ms. Jones

Question 14

Ms. Jones has no history of seizures, she does have history of asthma, & she had a hysterectomy. What do we ask next?

Accepted Answer

Ask Ms. Jones if she regularly uses inhalers for her asthma

Question 15

Ms. Jones has no more wheezing when you auscultate her lungs again. We are safe to assess for any contraindications.

Accepted Answer

True

Question 16

Ms. Jones has wheezing on auscultation. What should we do next?

Accepted Answer

Administer 2 puffs of an albuterol inhaler

Question 17

Ms. Jones says she feels fine. Her normal blood pressure is 100s/60s. What should we do next?

Accepted Answer

Ask another nurse what they would do in this situation., Wait a few minutes and reassess.

Question 18

You hook Ms. Jones up to the vitals and GE machine. You can now assess if her vitals and EKG are stable for this test.

Accepted Answer

True

Questions 18