ATI Targeted Medical-Surgical Cardiovascular TEST (100% Correct solution)
29 views 1 purchase
Course
ATI Nursing Education
Institution
Northwestern College
MED SURG 1 ATI Targeted Medical-Surgical : Cardiovascular 1. A nurse is providing discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch. which of the fol lowing instructions should the nurse include in the teaching? Place the patch on an area of skin away fr...
ati targeted medical surgical cardiovascular test 100 correct solution
1 a nurse is providing discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch which
Written for
Northwestern College
ATI Nursing Education
All documents for this subject (2)
Seller
Follow
ProfGoodlucK
Reviews received
Content preview
MED SURG 1
ATI Targeted Medical-Surgical : Cardiovascular
1. A nurse is providing 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 client should apply the Patch to an area of intact skin that has enough room for the
Patch to fit smoothly. Rotating the Patch site can prevent skin irritation. The client
should have a patch-free interval of 10 to 12 hours per day to prevent tolerance to the
medication. The nurse should emphasize that nitroglycerin patches offer ongoing
prevention of angina attacks. The patches do not treat angina attacks because they do
not take effect immediately.
2. A nurse in an emergency room is assessing a client who has bradydysrhythmia.
which of the following findings should the nurse monitor for?
Confusion
Bradydysrhythmia can cause decreased systemic profusion, which can lead to
confusion. Therefore, the nurse should monitor the client's mental status. The nurse
should expect to hear a friction rub during cardiac auscultation on a client who has
Carditis. The nurse should monitor a client who has a Bradydysrhythmia for
hypotension. The nurse should monitor a client who has Bradydysrhythmia for
diaphoresis.
3. A nurse is admitting a client who has a leg ulcer and a history of diabetes
mellitus. the nurse should use which of the following focused assessments to
help differentiate between an arterial ulcer and a venous stasis ulcer.
Inquire about the presence or absence of claudication
Knowing if the client is experiencing claudication helps differentiate Venus from arterial
ulcers. Clients who have arterial ulcers experience Claudication, but those who have
venous ulcers do not. Family history is important, but it does not help to differentiate
between arterial and venous ulcers. both arterial and venous ulcers cause varying
degrees of pain or discomfort. Both arterial and venous ulcers have the potential to
become infected.
4. A nurse is providing teaching for a client who is 2 days postoperative following a
heart transplant. which of the following statements should the nurse include in
the teaching?
This study source was downloaded by 100000845689434 from CourseHero.com on 05-03-2022 08:43:50 GMT -05:00
, "You might no longer be able to feel chest pain"
Heart transplant clients usually are no longer able to feel chest pain due to the
denervation of the heart. the client's activity tolerance should get gradually improved as
the healing process progresses. The client will need to permanently maintain a diet that
is restricted in sodium and fat. The client will remain on immunosuppressants for the
remainder of his life to help prevent rejection of the heart.
5. A nurse is caring for a client who was admitted for a 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 electrolyte values, particularly the potassium level,
because the client is at risk for dysrhythmias for hypokalemia. The nurse should obtain
the client's current weight to determine fluid loss from diuretic therapy. However, the
nurse should take another action 1st. The nurse should determine the time of the last
digoxin dose in order to evaluate when the next dose is due period however comma the
nurse should take another action first. The nurse should check the client's urine output
to determine fluid loss from diuretic therapy. However, the nurse should take another
action first.
6. A nurse is assessing a client who has Left-Sided failure. which of the following
manifestations should the nurse expect to find?
Weak Peripheral Pulses
Sweet peripheral pulses are related to decreased cardiac output resulting from left sided
heart failure. Increased abdominal girth is a finding related to systemic congestion
resulting from right sided heart failure. Jugular venous distention is a finding related to
systemic congestion resulting from right sided heart failure dependent edema early
morning for brothers to is a finding related to systemic congestion resulting from right
sided heart failure.
7. A nurse is assessing a client who has a history of DVT and is receiving warfarin.
the nurse should identify that which of the following findings indicates the
mediation is effective?
INR 2.0
Then there should identify there an INR of 2.0 is within the desired reference range of
2.0 to 3.0 for a client who has a deep vein thrombosis Ann is receiving warfarin to
This study source was downloaded by 100000845689434 from CourseHero.com on 05-03-2022 08:43:50 GMT -05:00
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 ProfGoodlucK. 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.
