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NR341 Complex Adult Health Exam 9 2024

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NR341 Complex Adult Health Exam 9 2024

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  • January 21, 2025
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  • 2024/2025
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NR341 Complex Adult Health Exam 9 2024
An alarm sounds at the central monitor station showing what appears to be VENTRICULAR
TACHYCARDIA in this client. What action should the nurse do first? - Check client and lead
placement

Which rhythm characteristic would a nurse expect for a client with ATRIAL FIBRILLATION? -
An irregular interval between each QRS

A nurse is caring for a post-operate client that has elevated levels of serum lactate. The nurse
recognizes which complication is developing in this client? - Tissue hypoxia

A catheter is inserted in the right radial artery to monitor the client's blood pressure. Which
assessment finding indicates that a complication of arterial pressure monitoring
is occurring? - The right hand is numb and pale

A client with a full code status develops ventricular fibrillation. Which action would be
appropriate for the nurse to delegate to an unlicensed assistant personnel (UAP) during
the code? - Bring crash cart in the coding client's room

Which hemodynamic parameter should the nurse expect in a client who is experiencing
Gastrointestinal (GI) bleeding? - Decreased CVP reading

A nurse is taking care of a client with a severe case of diarrhea. The client has low CVP
readings. Based on this information, which order should the nurse anticipate? - Packed RBC
transfusion

As the nurse enters the room the monitor alarms showing ventricular tachycardia. The
nurse assesses the client and notes there is a pulse . What should the nurse anticipate as
the next action for this client? - administer amiodarone

A client has atrial fibrillation. What drug does the nurse anticipate will be prescribed to prevent a
stroke? - Warfarin

a nurse is caring for a cleint with bp 82/46 and sinus tachy - administer fluid IV bolus normal
saline or metoprolol

A client with septic shock has a central venous pressure reading (CVP) of 1 mm Hg . Which of
these healthcare provider orders would the nurse anticipate? - Increase the normal saline rate to
150 ml/hour

identify atrial flutter strip - ....

Which is the best nursing practice to manage code documentation? - Preferably all code events
ae documented during the code
or

, Document all events immediately after the code is complete

The nurse is reviewing an ECG rhythm strip. The P waves and QRS complex are regular .
The PR interval is 0.28 second and the QRS complexes measure 0.06 second . The heart
rate is 64 beats/minute. Which rhythm would be the correct interpretation? - First Degree AV
Block

The nurse demonstrates understanding of the relationship of clinical symptoms to
preload when making which statement? - "Cough and crackles following a fluid bolus indicates
elevated preload"

The nurse notices that the client has a first-degree AV block. Everything else about the
rhythm is normal. What should the nurse do? - Monitor the rhythm and the client's condition

A client with septic shock has hemodynamic monitoring in place. What finding would
the nurse expect to see in this client? - Hypotension

The nurse evaluates that fluid resuscitation in the septic client is effective when which
finding is present? - Urine output is at least 30 ml/hour

Which assessment finding may indicate that a client has Obstructive shock? - Tracheal deviation
and diminished breath sounds

The nurse anticipates which central venous pressure reading (CVP) for a client with
heart failure? - CVP reading of 10 mm Hg

The nurse notes the pulmonary artery occlusive pressure (PAP) to be significantly higher
than previously recorded values. The client's respiration rate is 16 breaths/minute and
the oxygen saturation 98% on 3L nasal cannula. What is the first priority nursing action? - Level
and zero reference the transducer at the phlebostatic axis

A client is in anaphylactic shock and has warm flush skin and bounding pulses. The nurse
would expect to administer which medication? - Norepinephrine (Levophed)

A nurse finds a client in sinus bradycardia with a heart rate of 44 beats/minute, BP of
76/42. The client is complaining of dizziness and is diaphoretic. What is the drug of
choice for this client? - Atropine

identify V-tach strip - ....

The nurse
would anticipate synchronized cardioversion for the client with the following rhythm? -
Ventricular tachycardia with a pulse

A client in shock has the following assessment findings: low blood pressure, low SVR,

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