Advanced Med/Surg Final
The nurse is assessing a patient for heart failure. Which findings would indicate decreased cardiac output and a potential for fluid overload from heart failure? - ANS Orthopnea, peripheral edema, crackles
A patient comes to the ER with chest pain. A nurse ...
The nurse is assessing a patient for heart failure. Which findings would indicate decreased
cardiac output and a potential for fluid overload from heart failure? - ANS Orthopnea,
peripheral edema, crackles
A patient comes to the ER with chest pain. A nurse review the following lab results (elevated
CPK, CK-MB, tropinin). What does the nurse do first? - ANS Prepare the patient go go
immediately to cardiac catheterization
What would be included in the collaborative management of a patient's pulmonary status
following coronary artery bypass graft (CABG) surgery? - ANS Mobilizing the patient as soon
as possible to prevent atelectasis and venous stasis.
What should the nurse prepare to administer to a patient with sustained supraventricular
tachycardia (SVT)? - ANS Adenosine
A patient is admitted with chest discomfort and a possible myocardial infarction. What would be
a contraindication to administration of fibrinolytic medications to the patient? The patient had: -
ANS A stroke within the past month
A patient is experiencing reduced after load. The nurse realizes that a cause of reduced after
load is: - ANS Vasodilator medications
The electrocardiogram of a patient receiving tPA for a myocardial infarction shows that the ST
segment has returned to baseline. How should the nurse interpret this finding? - ANS The
blocked artery has been reperfused.
Which of the following will the nurse not include in the plan kf care for a patient with atrial
fibrillation? - ANS Prepare the patient for unsynchronized defibrillation to assist in controlling
heart rate.
A nurse is assessing a patient diagnosed with an anterior-lateral myocardial infarction. The
nurse adds a nursing diagnosis to the patient's plan of care of decreased cardiac output when
which finding is noted on assessment? - ANS Crackles auscultated in bilateral lung bases
A patient has had a recent myocardial infarction involving the left ventricle. Which assessment
finding is expected? - ANS decreased cardiac output
, Following cardiac repercussion treatments, a patient develops the following: hematuria,
hypotension, tachycardia, a drop in hemoglobin, hematocrit, and a drop in oxygen saturation.
What is most likely the cause for these symptoms? - ANS Over-anticoagulation
A patient with heart failure has a decreasing cardiac output. The nurse will expect compensatory
mechanisms to be activated in order to: - ANS Maintain perfusion to vital organs
The healthcare provider is preparing to insert a swan into a patient. The nurse realizes this
monitoring device is used for all of the following except: - ANS Continuously monitoring the
blood pressure
A patient with a right subclavian triple lumen catheter has a CVP reading of 18mmHg. The
nurse would further assess the patient for symptoms of: - ANS Peripheral edema and jugular
vein distention
What action would be most helpful to the nurse in determining whether the chest pain of a
patient who has just entered the ED is cardiac in origin? - ANS Performing a 12 lead EKG
The nurse wants to assess the oxygenation status of a patient who has been experiencing a GI
bleed. How will the nurse complete this assessment? - ANS Check the pulse oximetry and
send a blood sample for arterial blood gas analysis
After receiving a total of three Nitroglycerin sublingual tablets, a patient admitted to the hospital
with complaints of chest pain states there is no change in the level of discomfort. What will the
nurse do next? - ANS Notify the healthcare provider
A nurse is preparing to administer the first 5 mg dose of Metoprolol to a patient who is 12 hours
post MI. For which assessment finding should the nurse withhold administration of the
medication? - ANS sinus brady 48 bpm
Atrial fibrillation is characterized by all the following EXCEPT: - ANS sawtooth or picket fence
waves
What is the PRIORITY assessment for a patient experiencing atrial fibrillation with a rapid
ventricular response? - ANS assessing for shortness of breath
A patient's cardiac catheterization has shown an 80% blockage of the right coronary artery
(RCA). While waiting for bypass surgery, what is essential to have on hand? - ANS an external
pacemaker
A patient with sepsis is in the ICU, and has a PA catheter. The mixed venous oxygen saturation
(SvO2) is 86%. The patient's SaO2 is 92%, and temperature is 96.2 F. Which is the nurse's
primary intervention? - ANS Apply warm blankets to the patient because they are not
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DocLaura. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
