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MED SURG1 ATI Targeted Medical-Surgical 2022 Cardiovascular.
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MED SURG1 ATI Targeted Medical-Surgical 2022 Cardiovascular.
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MED SURG1 ATI Targeted Medical-Surgical 2022 Cardiovascular.MED SURG 1
ATI Targeted Medical-Surgical 2022: Cardiovascular
1. A nurse is providing discharge teaching for a client who has a
prescription for the transdermal nitroglycerin patch. which of the
following instructions should the nurse include in the teaching?
Place the patch on an area of skin away from skin folds and joints
The client should apply the Patch to an area of intact skin that has enough
room for the Patch to fit smoothly. Rotating the Patch site can prevent skin
irritation. The client should have a patch-free interval of 10 to 12 hours per
day to prevent tolerance to the medication. The nurse should emphasize
that nitroglycerin patches offer ongoing prevention of angina attacks. The
patches do not treat angina attacks because they do not take effect
immediately.
2. A nurse in an emergency room is assessing a client who has
bradydysrhythmia. which of the following findings should the nurse
monitor for?
Confusion
Bradydysrhythmia can cause decreased systemic profusion, which can lead
to confusion. Therefore, the nurse should monitor the client's mental status.
The nurse should expect to hear a friction rub during cardiac auscultation on
a client who has Carditis. The nurse should monitor a client who has a
Bradydysrhythmia for hypotension. The nurse should monitor a client who
has Bradydysrhythmia for diaphoresis.
3. A nurse is admitting a client who has a leg ulcer and a history of
diabetes mellitus. the nurse should use which of the following
focused assessments to help differentiate between an arterial ulcer
and a venous stasis ulcer.
Inquire about the presence or absence of claudication
Knowing if the client is experiencing claudication helps differentiate Venus
from arterial ulcers. Clients who have arterial ulcers experience Claudication,
but those who have venous ulcers do not. Family history is important, but it
does not help to differentiate between arterial and venous ulcers. both
arterial and venous ulcers cause varying degrees of pain or discomfort. Both
arterial and venous ulcers have the potential to become infected.
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, MED SURG1 ATI Targeted Medical-Surgical 2022 Cardiovascular.
4. A nurse is providing teaching for a client who is 2 days postoperative
following a heart transplant. which of the following statements should
the nurse include in the teaching?
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, MED SURG1 ATI Targeted Medical-Surgical 2022 Cardiovascular.
"You might no longer be able to feel chest pain"
Heart transplant clients usually are no longer able to feel chest pain due to
the denervation of the heart. the client's activity tolerance should get
gradually improved as the healing process progresses. The client will need
to permanently maintain a diet that is restricted in sodium and fat. The
client will remain on immunosuppressants for the remainder of his life to
help prevent rejection of the heart.
5. A nurse is caring for a client who was admitted for a treatment of left-
sided heart failure with intravenous loop diuretics and digitalis
therapy. the client is experiencing weakness and an irregular heart
rate. which of the following actions should the nurse take first?
Review serum electrolyte Values
weakness and irregular heart rate indicate that the client is at the greatest
risk for electrolyte imbalance, an adverse effect of loop diuretics. the first
action the nurse should take is to review the client's electrolyte values,
particularly the potassium level, because the client is at risk for
dysrhythmias for hypokalemia. The nurse should obtain the client's current
weight to determine fluid loss from diuretic therapy. However, the nurse
should take another action 1st. The nurse should determine the time of the
last digoxin dose in order to evaluate when the next dose is due period
however comma the nurse should take another action first. The nurse should
check the client's urine output to determine fluid loss from diuretic therapy.
However, the nurse should take another action first.
6. A nurse is assessing a client who has Left-Sided failure. which of the
following manifestations should the nurse expect to find?
Weak Peripheral Pulses
Sweet peripheral pulses are related to decreased cardiac output resulting
from left sided heart failure. Increased abdominal girth is a finding related to
systemic congestion resulting from right sided heart failure. Jugular venous
distention is a finding related to systemic congestion resulting from right
sided heart failure dependent edema early morning for brothers to is a finding
related to systemic congestion resulting from right sided heart failure.
7. A nurse is assessing a client who has a history of DVT and is receiving
warfarin. the nurse should identify that which of the following findings
indicates the mediation is effective?
INR 2.0
Then there should identify there an INR of 2.0 is within the desired reference
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