Questions 60

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ATI Advanced Med Surg Exam 3 Questions

Extract:


Question 1 of 5

A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following findings indicates that the medication is effective?

Correct Answer: A

Rationale: Increased urine output indicates improved renal perfusion and cardiac output, a sign of dobutamine's effectiveness in heart failure.

Question 2 of 5

An older patient with cardiogenic shock is cool and clammy. Hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which intervention should the nurse anticipate?

Correct Answer: B

Rationale: Sodium nitroprusside reduces high SVR, improving perfusion in cardiogenic shock with vasoconstriction.

Question 3 of 5

Which assessment finding by the nurse caring for a patient receiving mechanical ventilation indicates the need for suctioning?

Correct Answer: D

Rationale: A drop in oxygen saturation to 93% suggests airway obstruction or secretions, indicating the need for suctioning.

Extract:

pH 7.22
PaCO2 68 mm Hg
Base excess-2 PaO2 78 mm Hg
Saturation 80%
Bicarbonate 26 mEq/L


Question 4 of 5

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGS?

Correct Answer: C

Rationale: Low pH and elevated PaCO2 indicate respiratory acidosis due to hypoventilation retaining carbon dioxide.

Extract:


Question 5 of 5

The rapid response team (RRT) is caring for a client with asystole. Which nursing statement made to the client's family about the actions of the RRT is appropriate?

Correct Answer: D

Rationale: Asystole is not defibrillatable, so the RRT continues CPR, and this statement accurately informs the family.

Similar Questions

A patient who has been involved in a motor vehicle crash arrives in the emergency department (ED) with cool, clammy skin; tachycardia; and hypotension. Which intervention prescribed by the health care provider should the nurse implement first?
Mr Jones came to the ER complaining of chest palpitations. He states his heart feels like it is 'racing'. The nurse found the following rhythm on the monitor. What is the next step would the nurse expect to take first?
Which of the following is a common cause of cardiogenic shock?
The nurse is caring for a client with a history of heart failure and notes a new onset of the following rhythm on the client's telemetry monitor. Which action would the nurse take first?
A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?

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