NUR 200 MEDICAL - SURGICAL NURSING 3 P1 EXAMINATION questions and answers (deeply explained)

1. A 60-year old male client comes into the emergency department with complaints of crushing substernal chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction (MI). immediate admission orders include oxygen by nasal cannula at 4L/min, blood work, a chest radiograph, a 12-lead electrocardiogram (ECG), and 2mg of morphine sulfate given intravenously. The nurse should first A. Administer the morphine B. Obtain a 12-lead ECG C. Obtain the blood work D. Order the chest radiograph 2. When administering a thrombolytic drug to the client experiencing an MI, the nurse explains to him that the purpose of the drug is to A. Help keep him well hydrated B. Dissolve clots that he may have C. Prevent kidney failure D. Treat potential cardiac dysrhythmias 3. The nurse is assessing a client who has had an MI. The nurse notes the cardiac rhythm shown on the ECG strip. The nurse identifies this rhythm as which of the following? A. Atrial fibrillation B. Ventricular Tachycardia C. Premature ventricular contractions (PVCs) D. Third-degree block 4. The nurse is assessing a client who has had an MI. The nurse notes the cardiac rhythm shown on the ECG strip. The nurse ident