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MED SURG ATI 2 cardiac/37 Answered Questions/100% Accurate
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MED SURG ATI 2 cardiac/37 AnsweredQuestions/100% Accurate
A nurse is assessing a client who has experienced a gunshot wound. Findings
include blood pressure 108/55 mm Hg, heart rate 124/min, respiratory rate
36/min, temperature 38.6 (101.4), and a SaO2 95% on oxygen 30 minute
later. Which of the following should the nurse report to the provider? (select
all that apply)
A. distended neck veins
B. tracheal deviation
C. headache
D. nausea
E. heart rate 154/min - -A
B
E
-a nurse is reviewing discharge instructions for a client who experienced a
pneumothroax. which of the following should be included in the teaching?
A. notify your provider if you experience weakness
B. you should be able to return to work in 1 week
C. you need to wear a mast when in crowded areas.
D. notify your provider if you experience a cough - -D
this is indicative of a respiratory infection
-a nurse in the emergency department is assessing a client with a suspected
flail chest. which of the following clinical findings confirm this diagnosis?
(select all that apply)
A. bradycardia
B. cyanosis
C. hypotension
D. dyspnea
E. paradoxic chest movement - -B
C
D
E
-a nurse on a cardiac unit is caring for a group of clients. the nurse should
recognize which of the following clients as being at risk for the development
of a dysrhythmia? (select all that apply)
A. a client who has metabolic alkalosis
B. a client who has a serum potassium level of 4.3
C. a client who has a SaO2 of 96%
D. a client who has COPD
E. a client who underwent stent placement in a coronary artery - -A
, D
E
-a nurse is caring for a client who experienced defibrillation. which of the
following should be included in the documentation of this procedure?
A. follow up ECG
B. energy settings used
C. IV fluid intake
D. urinary output
E. skin condition under electrodes - -A
B
E
-a nurse on a cardiac unit is caring for a client who is on telemetry. the
nurse recognizes the client's heart rate is 46/min and notifies the provider.
the nurse should anticipate that which of the following management
strategies will be used for this clieint?
A. defibrillation
B. pacemaker insertion
C. synchronized cardioversion
D. administration of IV lidocaine - -B
-a nurse is caring for a client following a CABG. hemodynamic monitoring
has been initiated. which of the following actions by the nurse facilitate
correct monitoring readings?
A. place the client in high-fowlers position
B. level transducer to phlebostatic axis
C. zero transducer to room air
D. observe trends in readings
E. compare readings to physical assessment - -B
C
D
E
-a nurse on a cardiac unit is reviewing the laboratory findings of a client who
has a diagnosis of MI and reports that his dyspnea began 2 weeks ago. which
of the following cardiac enzymes would confirm the infarction occured 14
days ago?
A. CK-MB
B. troponin I
C. troponin T
D. myoglobin - -C
will be evident for 14-21 days
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