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Med surg ch 23,24,25,26 ( pharm test chapter 9 & 16 ) Questions With Complete Solutions
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Med surg ch 23,24,25,26 ( pharm test chapter 9 & 16 ) Questions With Complete Solutions
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Med surg ch 23,24,25,26 ( pharm test chapter 9 & 16 )Questions With Complete Solutions
. A patient with a history of mitral valve replacement surgery is
instructed to take prophylactic antibiotics before a scheduled
root canal. Which patient statement indicates to the nurse that
teaching has been effective? Correct Answers If I develop a
fever in the next week or so, I need to call my doctor right away.
. A patient with HF has shallow respirations building to deep
breaths followed by a period of apnea. How should the nurse
document this finding? Correct Answers Cheyne-Stokes
respirations
. A patient with HF is prescribed bedrest but becomes angry and
walks to the bathroom independently to use the toilet. How
should the nurse handle this situation? Correct Answers Obtain
a bedside commode.
. The nurse is caring for a patient with pericarditis who develops
hypotension, confusion, tachycardia, tachypnea, and jugular
venous distension. What action should the nurse take after
notifying the doctor? Correct Answers Prepare for a
pericardiocentesis.
A healthy postoperative patient who has been on bedrest for 3
days suddenly develops dyspnea, tachypnea, restlessness, and
chest pain. The patient says, "I feel as if something is going to
happen to me." Which action should the nurse take? Correct
Answers Obtain vital signs.
,A patient is being admitted to the intensive care unit after
cardiac surgery. Which nursing actions should the nurse include
when providing care? Correct Answers Note any patient
shivering, Assess breath sounds every shift, Assist in head-to-toe
data collection,Connect the patient to a cardiac monitor, Palpate
chest and neck for signs of crepitus.
A patient is diagnosed with ventricular fibrillation. For which
emergency intervention should the nurse anticipate preparing?
Correct Answers Defibrillation
A patient is experiencing palpitations that are found to be PVCs.
Which finding should the nurse monitor for? Correct Answers
Dizziness
A patient is in a third-degree atrioventricular block at a rate of
45 beats/minute. Which area of the heart should the nurse
consider as pacing this patient's heart rate? Correct Answers
Atrioventricular (AV) node
A patient who develops chest pain says the pain is a 9 on a scale
of 0-10. Which action should the nurse take? Correct Answers
Notify the registered nurse (RN).
A patient who has aortic stenosis develops severe dyspnea.
Which action should the nurse take first? Correct Answers
Raise the head of the bed.
A patient who is being treated for severe chest pressure says it
feels "as if someone is standing on my chest." What action
should the nurse take first? Correct Answers Obtain vital signs.
, A patient with a low potassium level is to receive furosemide
(Lasix) 20 mg by mouth. What action should the nurse take?
Correct Answers Consult the RN before giving the medication.
A patient with peripheral arterial disease (PAD) is sitting in a
chair and has cool feet that are reddish-purple in color. What
action should the nurse to take? Correct Answers Evaluate the
distal pulses..
A patient with valve disorder is prescribed an antibiotic prior to
dental surgery. Which patient statement indicates an
understanding for taking this medication? Correct Answers It's
to prevent a bacterial infection in the heart.
A postoperative patient suddenly develops dyspnea, tachypnea,
restlessness, and chest pain. Which complication should the
nurse suspect is occurring in this patient? Correct Answers
Pulmonary embolism
After reviewing an electrocardiogram, the nurse determines that
an electrical impulse originated in a patient's sinoatrial (SA)
node with a P wave. What does this represent? Correct Answers
Atrial depolarization
An older adult patient is receiving digoxin (Lanoxin) daily.
Which finding is most concerning? Correct Answers Anorexia
As part of discharge teaching, the nurse is instructing a patient
on the use of digoxin (Lanoxin). What should be included in the
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