MED SURG ATI CARDIO EXAM latest | ATI CARDIO EXAM latest

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ATI CARDIO EXAM latest A nurse is caring for a client who has dilated cardiomyopathy. The client reports increasing difficulty completing her daily 1-mile walks. The nurse should recognize that ... this is a finding of which of the following? a. Left ventricular failure b. Peripheral vasodilation c. Pericardial effusion d. Decreased vascular volume A nurse is caring for a client who presents to the emergency department with a blood pressure of 254/139 mm Hg. The nurse recognizes that the client is in a hypertensive crisis. Which of the following actions should the nurse take first? a. Obtain blood samples for laboratory testing b. Tell the client to report vision changes c. Place the head of the bed at 45 degrees d. Initiate an IV A nurse is assessing a client who has left-sided heart failure. Which of the following manifestations should the nurse expect to find? a. Increased abdominal girth b. Weak peripheral pulses c. Jugular venous neck distention d. Dependent edema A nurse is caring for a client in the first hour following an aortic aneurysm repair. Which of the following findings can indicate shock and should be reported to the provider? a. Serosanguineous drainage on dressing b. Severe pain with coughing c. Urine output of 20 mL/hr d. Increase in temperature from 36.8 degrees C (98.2 F) to 37.5 degrees C (99.5 F) A nurse is caring for a client who has a history of deep-vein thrombosis and is receiving warfarin. Which of the following client findings provides the nurse with the best evidence regarding the effectiveness of the warfarin therapy? a. Hemoglobin 14 g/dL b. Minimal bruising of extremities c. Reduced circumference of affected extremity d. INR 2.5 A nurse is reviewing the laboratory results of several clients who have peripheral arterial disease. The nurse should plan to provide dietary teaching for the client who has which of the following laboratory values? a. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL b. Cholesterol of 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL c. Cholesterol 190 mg/dL, HDL 25 mg/ dL, LDL 160 mg/dL d. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL A nurse is caring for a client in the first 8 hr following coronary artery bypass graft (CABG) surgery. Which of the following client findings should the nurse report to the provider? a. Mediastinal drainage 100 mL/hr b. Blood pressure 160/80 mm Hg c. Temperature 37.1 degrees C (98.8 F) d. Potassium 3.8 mEq/L incision sites. 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? a. My arthritis is really bothering me because I haven’t taken my aspirin in a week b. My blood pressure shouldn’t be high because I took my blood pressure medication this morning c. I took my warfarin last night according to my usual schedule d. I will check my blood sugar because I took a reduced dose of insulin this morning warfarin, for 5 to 7 days prior to the surgery to prevent excessive bleeding. A nurse in the emergency department is caring for a client who had an anterior myocardial infarction. The client’s history reveals she is 1 week postoperative open cholecystectomy. The nurse should recognize that which of the following interventions is contraindicated? a. Administering IV morphine sulfate b. Administering oxygen at 2 L/min via nasal cannula c. Helping the client to the bedside commode d. Assisting with thrombolytic therapy A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. The nurse should plan to monitor for and report which of the following findings to the provider immediately? a. Slurred speech b. Irregular pulse c. Dependent edema d. Persistent fatigue the provider immediately. A client who has a new diagnosis of hypertension has a prescription for an ACE inhibitor. The nurse instructs the client about adverse effects of the medication. The client demonstrates an understanding of the teaching by stating that he will notify his provider if he experiences which of the following? a. Tendon pain b. Persistent cough c. Frequent urination d. Constipation should discontinue the medication if it occurs. A nurse is assessing a client in the emergency room who has a bradydysrhythmia. Which of the following findings should the nurse expect? a. Confusion b. Friction rub c. Hypertension d. Dry skin A nurse is reviewing the medical record of a client who is receiving heparin therapy for treatment of deep-vein thrombosis. Which of the following interventions should the nurse anticipate taking if the client’s aPTT is 96 seconds? a. Increase the heparin infusion flow rate by 2 mL/hr b. Continue to monitor the heparin infusion as prescribed c. Request a prothrombin time (PT) d. Stop the heparin infusion A nurse is providing health teaching for a group of clients. Which of the following clients is at risk for developing peripheral arterial disease? a. A client who has hypothyroidism b. A client who has diabetes mellitus c. A client whose daily caloric intake consists of 25% fat d. A client who consumes two bottles of beer a day - - - - - - - - - - A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse should recognize that an increase in which of the following is diagnostic of a myocardial infarction (MI)? a. Myoglobin b. C-reactive protein c. Creatinine kinase-MB d. Homocysteine [Show More]

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