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Nclex RN UWORLD Questions and Correct Answers Latest Update, Graded A+

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NCLEX/RN

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NCLEX/RN

The ECG of a client with a single-chamber atrial pacemaker should display o :## a pacemaker spike before the P wave. On an electrocardiogram (ECG), o :## the P wave represents atrial depolarization and the QRS complex represents ventricular depolarization. The ECG of a client with a singlecha...

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1|Page : 2024 | Grade A+

Nclex RN UWORLD Questions and
Correct Answers Latest Update,
Graded A+

The ECG of a client with a single-chamber atrial pacemaker should display

o :## a pacemaker spike before the P wave.

On an electrocardiogram (ECG),

o :## the P wave represents atrial depolarization and the QRS complex
represents ventricular depolarization. The ECG of a client with a single-
chamber atrial pacemaker should display a pacemaker spike before the P
wave.

occurs when a blood clot becomes lodged in a vein. Clinical manifestations include

unilateral edema, localized pain, tenderness to touch, warmth, and erythema.

o :## Deep venous thrombosis

is a life-threatening complication of pericarditis that develops when fluid

accumulates within the layers of the pericardium. Clinical manifestations include

tachycardia, muffled heart tones, jugular venous distension, and pulsus paradoxus.

o :## Explanation

Cardiac tamponade

Master01: DO NOT COPY AND PASTE!! August 22, 2024 Latest Update

,2|Page : 2024 | Grade A+

Clients with pericardial effusion should be

o :## monitored and assessed closely for the development of cardiac
tamponade. Signs and symptoms of tamponade include muffled or distant
heart tones, hypotension, narrowed pulse pressure, jugular venous
distension, and pulsus

indicate turbulent blood flow across diseased or malformed cardiac valves. They

are often described as musical, blowing, or swooshing sounds that occur between

normal heart sounds. They may be auscultated at the aortic, pulmonic, tricuspid,

or mitral areas.

o :## Murmurs

Clients taking estrogen therapy are at an increased risk for

o :## hypercoagulability and thromboembolic complications. Signs or
symptoms of deep venous thrombosis (eg, leg swelling, redness, pain) should
be reported to the health care provider immediately.

The nurse needs to monitor groin puncture sites, peripheral pulses, urine output,

and kidney function in the client who has had minimally invasive endovascular

repair of an abdominal aneurysm.

o :## Endovascular abdominal aortic aneurysm repair i

increases the risk of tissue necrosis and limb loss. Management focuses on

improving blood flow and circulation to the extremities through lifestyle changes

and medications.

o :## Peripheral artery disease

Master01: DO NOT COPY AND PASTE!! August 22, 2024 Latest Update

, 3|Page : 2024 | Grade A+

on ECG is characterized by an irregular rhythm with fibrillatory waves instead of P

waves. Treatment includes rate control and anticoagulation.

o :## Atrial fibrillation

is a sympathomimetic inotropic agent that increases heart rate, blood pressure,

cardiac output, and urine output. Vital signs should be monitored closely in these

clients as a higher dose can result in dangerous tachycardia and tachyarrhythmias.

o :## Dopamine

Clinical manifestations of hypovolemic shock

o :## are associated with inadequate perfusion and include urine output <0.5
mL/kg/hr, changes in mental status, hypotension, and tachycardia.

The nurse should carefully monitor renal status in a client who has had abdominal

aortic aneurysm repair.

o :## BUN, creatinine, and urine output should be assessed. Urine output of
at least 30 mL/hr is expected.

When administering furosemide, it is important to closely monitor

o :## the client's vital signs, serum electrolytes (potassium), and kidney
function tests (blood urea nitrogen, creatinine) prior to administration to
prevent side effects such as hypokalemia, hypotension, and kidney injury.

The steps for using an automated external defibrillator (AED) are as follows:

Master01: DO NOT COPY AND PASTE!! August 22, 2024 Latest Update

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