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ATI med surg REAL EXAM 150 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an un €13,36   In winkelwagen

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ATI med surg REAL EXAM 150 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an un

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A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching? - CORRECT ANSWER I should lie down when I take this medication A nurse is providing discharge tea...

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ATI Med Surg REAL EXAM 250 QUESTIONS AND CORRECT ANSWER S (VERIFIE D ANSWERS)|AGRADE A nurse is caring for client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the follo wing findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following actions should then nurse take? a. Defibrillate the client's heart. b. Perform synchronized cardioversion. c. Begin cardiopulmonary resuscita tion. d. Administer lidocaine IV bolus. - CORRECT ANSWER b. Perform synchronized cardioversion. The nurse should perform synchronized cardioversion for a client who has supraventricular tachycardia. What rhythms are shockable? (defibrillation) - CORRECT ANSWER ventricular fibrillation and pulseless ventricular tachycarida What dysrhythmia are amiodarone and lidocaine indicated for? - CORRECT ANSWER ventricular arrhythmias The nurse should initi ate CPR for a client who what? - CORRECT ANSWER is pulseless or not breathing A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following medications should the nurse instruct the client to wit hhold for 48 hr prior to cardioversion? A. Enoxaparin B. Metformin C. Diazepam D. Digoxin - CORRECT ANSWER D. digoxin Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These medications can increase ventricular irritability a nd put the client at risk for ventricular fibrillation after the synchronized countershock of cardioversion _______ are usually given prior to cardioversion to reduce anxiety and minimize discomfort with the procedure. - CORRECT ANSWER Sedatives like d iazepam Metformin is held before what kind of procedures? Example? Why? - CORRECT ANSWER Ones that involve contrast dye like cardiac catheterization, in order to prevent kidney damage. __________ prevent blood clots that can be released into the circu latory system after cardioversion. - CORRECT ANSWER Anticoagulants like enoxaparin What kind of drugs are withheld prior to cardioversion? - CORRECT ANSWER cardiac glycosides like digoxin exopthalmosis - CORRECT ANSWER condition produced by hype rthyroidism in which the eyeballs protrude beyond their normal protective orbit because of swelling in the tissues behind them entropion - CORRECT ANSWER the inversion of the edge of an eyelid ectropion - CORRECT ANSWER the eversion of the edge of an eyelid ptosis - CORRECT ANSWER drooping A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high -pressure alarm is sounding. Which of the following actions should the nurse take first? A. Obtain ABGs. B. Admin ister propofol to the client. C. Instruct the client to allow the machine to breathe for them. D. Disconnect the machine and manually ventilate the client. - CORRECT ANSWER C. Instruct the client to allow the machine to breathe for them. When providing client care, the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should take is to provide verbal instructions and emotional support to help the client relax and allow the ventilator to work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator." A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings should the nurse expect? A. Positive Trousseau's sign B. 4+ deep tendon reflexe s C. Deep respirations D. Hypoactive bowel sounds - CORRECT ANSWER D. Hypoactive bowel sounds Deep tendon reflexes are used to monitor what electrolyte level? - CORRECT ANSWER magnesium What kind of respirations occur with hypokalemia and why? - CORRECT ANSWER shallow respirations due to respiratory muscle weakness Trosseau's sign evaluates for what electrolyte imbalances? - CORRECT ANSWER hypocalcelmia and hypomagnesemia What is hypokalemia's effect on the GI system? - CORRECT ANSWER It decreases smooth muscle contraction leading to decreased peristalsis and hypoactive bowel sounds . Deep tendon reflexes in hypomagnesemia - CORRECT ANSWER increased e.g. 4+ Deep tendon reflexes in hypermagnesemia - CORRECT ANSWER decreased e.g. abse nt or 1+ What should be done if you are performing a cardiac assessment on a client and you hear a murmur? - CORRECT ANSWER Listen with the client on their left side so it can be heard more clearly A nurse is conducting an admission history for a clie nt who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? A. History of asthma B. Appendectomy 1 year ago C. Penicillin allergy D. Total knee arthroplasty 6 months ago - CORRECT ANSWER A. History of asthma A client who has a history of asthma has a greater risk of reacting to the contrast dye used during the procedure. Other conditions that can result in a reaction to contrast media include allergies to foods, such as shellfish, eggs, milk, and chocolate. What are conditions that may cause a reaction to contrast media? Patients with these conditions require further screening before a procedure with IV contrast. - CORRECT ANSW ER history of asthma and allergies to shellfish, eggs, milk, and chocolate What drugs would warrant further screening for increased risk of renal damage in someone getting a procedure with IV contrast? - CORRECT ANSWER aminoglycosides, NSAIDs, metfor min Patients with what conditions have an increased risk for renal damage from a procedure with IV contrast? - CORRECT ANSWER history of diabetes mellitus, renal impairment, or heart failure A nurse is an ED is reviewing the provider's prescriptions f or a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? A. Apply ice to the clients puncture wounds B. Initiate corticosteroid therapy for the client C. Keep the client's leg above heart level D. Administer an opioid analgesic to the client - CORRECT ANSWER D. Administer an opioid analgesic to the client Expect an opioid analgesic to promote comfort in someone with a rattlesnake bite.

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