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NGN ATI MED SURG EXAM ATI MEDICAL SURGICAL EXAM 255 QUESTIONS WITH VERIFIED ANSWERS 2024
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NGN ATI MED SURG EXAM ATI MEDICAL SURGICAL EXAM 255 QUESTIONS WITH VERIFIED ANSWERS 2024
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NGN ATI MED SURG EXAM ATI MEDICAL SURGICAL EXAM 255 QUESTIONS WITH VERIFI ED ANSWER S 2024 1. A nurse is caring for client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following action s should then nurse take? a. Defibrillate the client's heart. b. Perform synchronized cardioversion. c. Begin cardiopulmonary resuscitation. d. Administer lidocaine IV bolus.: b. Perform synchronized cardioversion. The nurse should perform synchronized cardioversio n for a client who has supraventricular tachycardia. 2. What rhythms are shockable? (defibrillation): ventricular fibrillation and pulseless ventricular tachycarida 3. What dysrhythmia are amiodarone and lidocaine indicated for?: ventricular arrhythmias 4. The nurs e should initiate CPR for a client who what?: is pulseless or not breathing 5. 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 withhold f or 48 hr prior to cardioversion? A. Enoxaparin B. Metformin C. Diazepam D. Digoxin: D. digoxin Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These medications can increase ventricular irritability and put the client at risk for ventricular fibrillation after the synchronized countershock of cardioversion 6. _______ are usual ly given prior to cardioversion to reduce anxiety and minimize discomfort with the procedure.: Sedatives like diazepam 7. Metformin is held before what kind of procedures? Example? Why?: Ones that involve contrast dye like cardiac catheterization, in order to prevent kidney damage. 8. __________ prevent blood clots that can be released into the circulatory system after cardioversion.: Anticoagulants like enoxaparin 9. What kind of drugs are withheld prior to cardioversion ?: cardiac glycosides like digoxin 10 exopth almosis: condition produced by hyperthyroidism in which the eyeballs protrude beyond their normal protective orbit because of swelling in the tissues behind them 11. entropion: the inversion of the edge of an eyelid 12. ectropion: the eversion of the edge of an ey elid 13. ptosis: drooping 14. 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. Administer 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.: C. Instruct the client to allow the machine to breathe for them. When providing clie nt 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." 15. 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 reflexes C. Deep respirations D. Hypoactive bowel sounds: D. Hypoactive bowel sounds 16. Deep tendon reflexes are used to monitor what electrolyte level?: magnesium 17. What kind of respirations occur with hypokalemia and why?: shallow respirations due to respiratory muscle weakness 18. Trosseau's sign evaluates for what electrolyte imbalances?: hypocalcelmia and hypomagnesemia 19 What is hypokalemia's effect on the GI system ?: It decreases smooth muscle contraction leading to decreased peristalsis and hypoactive bowel sounds. 20. Deep tendon reflexes in hypomagnesemia: increased e.g. 4+ 21. Deep tendon reflexes in hypermagnesemia: decreased e.g. absent or 1+ 22. What should be done i f you are performing a cardiac assessment onThe benefits of buying summaries with Stuvia:
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