Exam (elaborations)
ATI - Circulation and Perfusion 1
ATI - Circulation and Perfusion 1
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ATI - Circulation and Perfusion 1Nurse is caring for a client who reports an area of redness, warmth,
tenderness and pain in the right calf. The nurse anticipated which of the
following orders when notifying the provider of this finding? - correct answer-o
Obtain a venous duplex ultrasound
· A nurse in an emergency department is caring for a client who reports
substernal chest pain and dyspnea. The client is vomiting and diaphoretic.
Which of the following lab tests are used to diagnose a MI? Select all that
apply - correct answer-o Troponin I
o Troponin T
o CPK
o Myoglobin
· A nurse is preparing to administer a transfusion of RBCs to a client who has
heart failure. For which of the following manifestations should the nurse
monitor to prevent fluid volume overload. - correct answer-o Dyspnea
o Jugular vein distention
o Confusion
· A nurse is caring for four clients. After administering morning medications,
she realizes that the nifedipine prescribed for one client was inadvertently
administered to another client. Which of the following actions should the nurse
take first? - correct answer-o Check the PT's vital signs
· Nurse in an emergency dept is assessing a client who is having a suspected
acute MI. Which of the following manifestations should the nurse expect to
find for a client experiencing an acute MI? - correct answer-o Nausea
o Tachycardia
o Diaphoresis
· A nurse is providing teaching to a client about smoking cessation. Which of
the following client statements indicates a need for further education? - correct
answer-o "I will test my ability to quit smoking by going to the bar where I used
to smoke."
· A nurse is providing teaching for a client who has anemia and a new
prescription for ferrous sulfate liquid. Which of the following instructions should
, the nurse provide? - correct answer-Take medication with orange juice to
enhance absorption
· A nurse is planning to teach a client about a low potassium diet. Which of the
following foods should the nurse instruct the client to avoid? - correct
answer-o Yogurt
o Orange Juice
· A nurse finds that a client didn't receive a scheduled dose of Lasix. Which of
the following should the nurse include in the incident/variance report? Select
all that apply - correct answer-o Date of incident
o Time client was to receive the medication
o The client's vital signs
· Nurse is assessing an older client who is receiving Digoxin. The nurse
should recognize that which of the following findings is a manifestation of
Digoxin toxicity? - correct answer-Anorexia
· A nurse is caring for a client who is prescribed Warfarin therapy for an
artificial heart valve. Which of the following laboratory values should the nurse
monitor for a therapeutic effect of Warfarin? - correct answer-PT
· A nurse is teaching a client who is Post Op following the insertion of a
permanent pacemaker. Which of the following instructions should the nurse
include? Select all that apply. - correct answer-o Count your pulse for 1 min.
each morning
o Don't wear tight clothing over insertion area
· A client with a hx or MI is prescribed Aspirin 325mg. The nurse recognizes
that the aspirin is given due to which of the following actions of the
medication? - correct answer-o Antiplatelet aggregate
· A nurse is caring for a client who just had a cardiac catheterization. Which of
the following nursing interventions should the nurse include in the client's plan
of care? Select all that apply. - correct answer-o Check peripheral pulses in
the affected extremity
o Keep client's hip and leg extended
o Have client remain in bed up to 6hrs post op
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