ATI Med Surg exam 2 III | Nurselytic

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ATI Med Surg exam 2 III Questions

Extract:

Nurses Notes
Vital Signs
Provider's Prescriptions
0700: Client arrived in the ED complaining of chest discomfort and shortness of breath. Alert and oriented x3. Reports a history of hypertension and diabetes mellitus. Skin is warm and dry. Respirations are 18/min, easy and regular. Oxygen saturation is 91% on room air. Morphine Sulfate 2 mg administered IVP at 0715 for pain management. Client resting in bed, denies pain at this time.


Question 1 of 5

A nurse is caring for a 58-year-old male client in the emergency department (ED) who presents with an irregular pulse and elevated blood pressure. The nurse is planning care for the client. For each potential prescription, indicate whether it is indicated, nonessential, or contraindicated.

OptionsIndicatedNonessentialContraindicated
Administer O2 to maintain oxygen saturation greater than 90%.
Apply continuous ECG monitoring.
Obtain the client's family history.
Prepare the client for intubation.

Correct Answer: A,B

Rationale: Administering O2 to maintain oxygen saturation greater than 90% is indicated to improve tissue oxygenation. Continuous ECG monitoring is crucial for detecting arrhythmias and ischemic changes.

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Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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