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Advanced Med/Surg Final
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Advanced Med/Surg Final The nurse is assessing a patient for heart failure. Which findings would indicate decreased cardiac output and a potential for fluid overload from heart failure? - ANS Orthopnea, peripheral edema, crackles A patient comes to the ER with chest pain. A nurse ...

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  • August 4, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • APEX NIH Stroke Scale
  • APEX NIH Stroke Scale

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Advanced Med/Surg Final
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The nurse is assessing a patient for heart failure. Which findings would indicate decreased
cardiac output and a potential for fluid overload from heart failure? - ANS Orthopnea,
peripheral edema, crackles

A patient comes to the ER with chest pain. A nurse review the following lab results (elevated
CPK, CK-MB, tropinin). What does the nurse do first? - ANS Prepare the patient go go
immediately to cardiac catheterization

What would be included in the collaborative management of a patient's pulmonary status
following coronary artery bypass graft (CABG) surgery? - ANS Mobilizing the patient as soon
as possible to prevent atelectasis and venous stasis.

What should the nurse prepare to administer to a patient with sustained supraventricular
tachycardia (SVT)? - ANS Adenosine

A patient is admitted with chest discomfort and a possible myocardial infarction. What would be
a contraindication to administration of fibrinolytic medications to the patient? The patient had: -
ANS A stroke within the past month

A patient is experiencing reduced after load. The nurse realizes that a cause of reduced after
load is: - ANS Vasodilator medications

The electrocardiogram of a patient receiving tPA for a myocardial infarction shows that the ST
segment has returned to baseline. How should the nurse interpret this finding? - ANS The
blocked artery has been reperfused.

Which of the following will the nurse not include in the plan kf care for a patient with atrial
fibrillation? - ANS Prepare the patient for unsynchronized defibrillation to assist in controlling
heart rate.

A nurse is assessing a patient diagnosed with an anterior-lateral myocardial infarction. The
nurse adds a nursing diagnosis to the patient's plan of care of decreased cardiac output when
which finding is noted on assessment? - ANS Crackles auscultated in bilateral lung bases

A patient has had a recent myocardial infarction involving the left ventricle. Which assessment
finding is expected? - ANS decreased cardiac output

, Following cardiac repercussion treatments, a patient develops the following: hematuria,
hypotension, tachycardia, a drop in hemoglobin, hematocrit, and a drop in oxygen saturation.
What is most likely the cause for these symptoms? - ANS Over-anticoagulation

A patient with heart failure has a decreasing cardiac output. The nurse will expect compensatory
mechanisms to be activated in order to: - ANS Maintain perfusion to vital organs

The healthcare provider is preparing to insert a swan into a patient. The nurse realizes this
monitoring device is used for all of the following except: - ANS Continuously monitoring the
blood pressure

A patient with a right subclavian triple lumen catheter has a CVP reading of 18mmHg. The
nurse would further assess the patient for symptoms of: - ANS Peripheral edema and jugular
vein distention

What action would be most helpful to the nurse in determining whether the chest pain of a
patient who has just entered the ED is cardiac in origin? - ANS Performing a 12 lead EKG

The nurse wants to assess the oxygenation status of a patient who has been experiencing a GI
bleed. How will the nurse complete this assessment? - ANS Check the pulse oximetry and
send a blood sample for arterial blood gas analysis

After receiving a total of three Nitroglycerin sublingual tablets, a patient admitted to the hospital
with complaints of chest pain states there is no change in the level of discomfort. What will the
nurse do next? - ANS Notify the healthcare provider

A nurse is preparing to administer the first 5 mg dose of Metoprolol to a patient who is 12 hours
post MI. For which assessment finding should the nurse withhold administration of the
medication? - ANS sinus brady 48 bpm

Atrial fibrillation is characterized by all the following EXCEPT: - ANS sawtooth or picket fence
waves

What is the PRIORITY assessment for a patient experiencing atrial fibrillation with a rapid
ventricular response? - ANS assessing for shortness of breath

A patient's cardiac catheterization has shown an 80% blockage of the right coronary artery
(RCA). While waiting for bypass surgery, what is essential to have on hand? - ANS an external
pacemaker

A patient with sepsis is in the ICU, and has a PA catheter. The mixed venous oxygen saturation
(SvO2) is 86%. The patient's SaO2 is 92%, and temperature is 96.2 F. Which is the nurse's
primary intervention? - ANS Apply warm blankets to the patient because they are not

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