Exam (elaborations)
RN Targeted Medical Surgical Cardiovascular Online Practice 2024/25 | Rated A+
- Course
- Institution
RN Targeted Medical Surgical Cardiovascular Online Practice 2024/25 | Rated A+
[Show more]
Content preview
RN Targeted Medical Surgical Cardiovascular Online Practice 2024/25 | Rated A+ a nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. which of the following client statements indicates a need for further clarification by the nurse? ✓ "I took warfarin last night according to my usual schedul e" clients who are scheduled for a CABG should not take anticoagulants, such as warfarin, for several days prior to the surgery to prevent excessive bleeding. a nurse in an emergency department is caring for a client who had an anterior myocardial infarc tion. the client's history reveals she is 1 week postop following an open cholecystectomy. the nurse should recognize that which of the following interventions is contraindicated? ✓ assisting with thrombolytic therapy The nurse should recognize that major surgery within the previous 3 weeks is a contraindication for thrombolytic therapy. a nurse is preparing a client for coronary angiography. the nurse should report which of the following findings to the provider prior to the procedure? ✓ previous allergi c reaction to shellfish The contrast medium used for coronary angiography is iodine -based. Clients who have a history of allergic reaction to shellfish often react to iodine and might need a steroid or antihistamine prior to the procedure. a nurse is car ing for a client who was admitted for treatment of left -sided heart failure with intravenous loop diuretics and digitalis therapy. the client is experiencing weakness and an irregular heart rate. which of the following actions should the nurse take first? ✓ review serum electrolyte values Weakness and irregular heart rate indicate that the client is at the greatest risk for electrolyte imbalance, an adverse effect of loop diuretics. The first action the nurse should take is to review the client's electroly te values, particularly the potassium level, because the client is at risk for dysrhythmias from hypokalemia. a nurse is caring for a client following insertion of a permanent pacemaker. which of the following statements indicates a potential complication of the insertion procedure? ✓ "I can't get rid of these hiccups" Hiccups can indicate that the pacemaker is stimulating the chest wall or diaphragm, which can occur as a result of a lead wire perforation. a nurse is caring for a client who has endocardi tis. which of the following findings should the nurse recognize as a potential complication? ✓ valvular disease Valvular disease or damage often occurs as a result of inflammation or infection of the endocardium. a nurse is caring for a client who is bei ng treated for heart failure and has a prescription for furosemide. the nurse should plan to monitor for which of the following as an adverse effect of this medication? ✓ lightheadedness Furosemide can cause a substantial drop in blood pressure, resulting in lightheadedness or dizziness. a nurse in an emergency room is assessing a client who has a bradydysrhythmia. which of the following findings should the nurse monitor for? ✓ confusion Bradydysrhythmia can cause decreased systemic perfusion, which can lead to confusion. Therefore, the nurse should monitor the client's mental status. A nurse is caring for a client who is 8 hr postoperative following a coronary artery bypass graft (CABG). Which of the following client findings should the nurse report? ✓ Blood pressure 160/80 The nurse should report an elevated blood pressure following a CABG because increased vascular pressure can cause bleeding at the incision sites. a nurse is providin g discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch. which of the following instructions should the nurse include in the teaching? ✓ place the patch on an area of skin away from skin folds and joints The nurse should instruct the client to apply the patch to an area of intact skin with enough room for the patch to fit smoothly. a nurse is caring for a client who is receiving heparin therapy and develops hematuria. which of the following actions should the nurse take if the client's aPTT is 96 seconds? ✓ stop the heparin infusion The nurse should identify that the client's aPTT is above the critical value and the client is displaying manifestations of bleeding. Therefore, the nurse should discontinue the heparin infusion immediately and notify the provider to reduce the risk of client injury.The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller STUVATE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now