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MS3 EXAM 1 QUESTIONS AND ANSWERS
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MS3 EXAM 1 QUESTIONS AND ANSWERS
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MS3 EXAM 1 QUESTIONS AND ANSWERSWhich one of the following statement about visitation in the clincal care unit is true -
Answers- individualized visitation base don client and family needs
A critical ill client of cancer shows asystole in the monitor he does not have a DNR on
the chart, what should the nurse do? - Answers- initiate CPR and call a code
The nurse staff recognizes 2 priorities needs that family member of a critical ill client are
- Answers- have flexible time to visit the client and have personal comfort needs for
meds
Which of the following statements is the core concept of synergy model of practice -
Answers- meet the needs of the client family, influence nursing competency
The following... Admitted to the cardiac care unit with the dx of acute MI, which of the
following is the highest priority in the nursing management of this client? - Answers-
provide adequate pain control and reduce myocardial O2 demand
Client w/ hx of renal failure and dx of MI, the nurse reviewing data. Which of the
following lab data requires immediate attention - Answers- potassium of 5.8
The nurse is caring for a client newly dx w/ MI and the nurse knows the client has a type
2 diabetes and renal insufficiency the nurse is reviewing lab data, what should she
reports to the HCP? - Answers- SATA: potassium, calcium, digoxin
Admission for evaluation chest pain...following bt cardiac cath coronary artheriography,
the nurse care priority for a client post op cath is: - Answers- monitor peripheral pulse
and cath site
Which trauma therapeutic agent should the nurse anticipate will be recommended
as...for platelet aggregation - Answers- aspirin
MI 4 days ago, pt complains of dyspnea. Assessment: crackles, S3 sound w/ HR 125
these s/s are conclusive w/ - Answers- left sided HF
Pt near the station - Answers- a clien tw/ a syncopal episodes who is confused and
disoriented
The nurse is caring for client w/ normal...a-fib w/ a ventricular respond of 164 the BP is
150/76 RR 20 w/ normal chest expansion, IV heparin and cardizem is infusing. The
nurse understand the goal of cardizem is? - Answers- control ventricular rate
The nurse enters the pts room finds the client in cardiac arrest, CPR is initiate and the
code team is alert upon the arrive of the code team and placement of... And cardiac
, monitor. It is determined that ECG shows V-tach. Which is priority action and
management of the client - Answers- defibrillate
Client w/ HF...when the nurse enters the room the client is complaining of anorexia,
nausea and...which of the following action will the nurse do first? - Answers- check
serum digoxin lab levels
The nurse is presenting a health promotion program in the senior center one of the
participant states all the TV commercial tells you to take aspirin for chest pain. I take
aspirin for arthritis, how this solve chest pain? - Answers- helps the blood move freely
to the vessels
The nurse is monitoring a client... With an acute MI, what is the expected outcome that
indicates this therapy is successful? - Answers- relief of the pain, decrease in an ST
segment, and a narrowed Q wave
The nurse is assisting a client with acute MI to get out of the bed for the 1st time and the
client appears dizzy and diaphoretic, which of the following should the nurse do first? -
Answers- pt back to sit
A client is being admitted to the tele unit post administration of atpa, which of the
following is a priority for the nurse? - Answers- telemonitor
During discharge teaching for a pt w/ CHF protocols...expected outcomes for this client -
Answers- the client will verbalize. Monitor daily weight
...dx discharge teaching for a client w/ CHF the client is under natrecor. The order to
evaluate the effectiveness of this med what is the priority action - Answers- monitor
urine output
Client is admitted w/ persistent nausea, the nurse recognize that gastrointestinal
distress is associated w/ right sided HF caused by - Answers- venous stasis and
venous engorgement w/in abdominal organs
A client is admitted to the hospital w/ multiple trauma and extended blood loss, his BP
and pulmonary pressure is very low, which of the following tx is most appropriate at this
time? - Answers- blood and fluid administraton
...pulmonary artery of movement pressure is 20, his lungs are..you suspect - Answers-
fluid overload
An adult senior has influenza, she goes to the ER w/ severe weakness. Assessment
includes: dark mucus membranes, poor skin turgor, hypotension and tachy. The central
line is inserted into the subclavian vein for access. Where is distal tip placed? -
Answers- right atrium
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