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ATI MED SURG CARDIOVASCULAR - 2024 with complete solutions/ latest update (stuvia 5 stars rating)
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ATI MED SURG CARDIOVASCULARA nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty
(PTCA) with stent placement. Which of the following actions should the nurse anticipate in the
post-procedure plan of care?
A. Instruct the client about a long-term cardiac conditioning program
B. Administer scheduled doses of acetaminophen
C. Check for peak laboratory markers of myocardial damage
D. Monitor for bleeding - CORRECT ANSWER-D. Monitor for bleeding
A nurse is providing discharge teaching to an adult female client who has infective endocarditis about
how to prevent recurrence. Which of the following statements by the client indicates an understanding of
the teaching?
A. "I will ask my provider to change my contraception to an intrauterine device."
B. "I will notify my doctor before I have dental procedures."
C. "I will avoid using antiseptic mouthwash for oral care."
D. "I will wear a mask when I go out in public." - CORRECT ANSWER-B. "I will notify my doctor before I
have dental procedures."
A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should
the nurse include in the client's plan of care?
A. Maintain the client's knees and hips in a flexed position
B. Apply cold compresses to painful joints
C. Withhold opioids until the crisis is resolved
D. Encourage increased fluid intake - CORRECT ANSWER-D. Encourage increased fluid intake
A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to
increase consumption of which of the following foods?
A. Beef liver
,B. Oranges
C. Turnips
D. Whole milk - CORRECT ANSWER-A. Beef liver
A nurse is providing teaching about lifestyle changes to a client who experienced a myocardial infarction
and has a new prescription for a beta blocker. Which of the following client statements indicates an
understanding of the teaching?
A. "I should eat foods that are high in saturated fat."
B. "Before taking my medication, I will count my radial pulse rate."
C. "I will exercise once a week for an hour at the health club."
D. "I will stop taking my medication when my blood pressure is within a normal range." - CORRECT
ANSWER-B. "Before taking my medication, I will count my radial pulse rate."
A nurse is teaching a client about dietary modifications to control blood pressure. Which of the following
food choices should the nurse identify as an indication that the client understands the instructions?
A. Onion soup and salad
B. Vegetarian wrap with potato chips
C. Grilled chicken salad with fresh tomatoes
D. Chicken bouillon and crackers - CORRECT ANSWER-C. Grilled chicken salad with fresh tomatoes
A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on the toes. Which of
the following findings of PVD is a risk factor for ulceration of the extremities?
A. Insufficient skin care
B. Dehydration
C. Immobility
D. Impaired circulation - CORRECT ANSWER-D. Impaired circulation
A nurse is reviewing the laboratory findings of a client who has protein-calorie malnutrition. Which of the
following findings should the nurse expect?
A. Decreased albumin
, B. Elevated hemoglobin
C. Elevated lymphocytes
D. Decreased cortisol - CORRECT ANSWER-A. Decreased albumin
A nurse is teaching a client with heart disease about a low-cholesterol diet. Which of the following client
statements indicates the teaching was effective?
A. "I should remove the skin from poultry before eating it."
B. "I will eat seafood once per week."
C. "I should use margarine when preparing meals."
D. "I can use whole milk in my oatmeal." - CORRECT ANSWER-A. "I should remove the skin from poultry
before eating it."
A nurse is preparing an automated external defibrillator (AED) for a client receiving CPR after a cardiac
arrest. Which of the following actions should the nurse perform first?
A. Press the analyze button on the machine
B. Stop CPR and move away from the client
C. Push the charge button to prepare to shock
D. Apply the defibrillator pads to the client's chest - CORRECT ANSWER-D. Apply the defibrillator pads
to the client's chest
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea. Which of
the following actions should the nurse take first?
A. Elevate the client's feet and legs
B. Administer epinephrine
C. Infuse 0.9% sodium chloride
D. Stop the medication infusion - CORRECT ANSWER-D. Stop the medication infusion
A nurse is caring for a client with heart failure whose telemetry reading displays a flattening of the T
wave. Which of the following laboratory results should the nurse anticipate as the cause of this ECG
change?
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