Ati Med Surg Final Exam Nsg 232 | Nurselytic

Questions 66

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ATI Med Surg Final Exam Nsg 232 Questions

Extract:

Nurses' Notes
1500:
Client presents to the ED and reports dyspnea, chest pain, and tachycardia. Client returned home from a vacation out of the country 24 hr ago.
1515:
The client has become diaphoretic, increasingly dyspneic, and states that their chest pain is sharp and increasing. The client states. "I feel like I'm going to die." Crackles auscultated in bilateral lower lobes, s3 and S4 heart sounds noted. Petechiae noted on the client's chest. Pulmonary embolism protocol initiated.
Vital signs
1500
T 38.1 (100.6 F),
HR 110/min, RR 24/min.
BP 138/52 (02)92% at 2L nasal canula 1515:
T 100.6 F,
HR 135/min, RR 32/min,
BP 120/50 mmHg,
02 90% at 4L nasal canula


Question 1 of 5

A nurse is caring for a client in the emergency department (ED). The nurse should first followed by

Correct Answer: A, E

Rationale: High Fowler's position improves breathing, and IV access prepares for medication administration in suspected pulmonary embolism.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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