ATI Med Surg exam 2 III | Nurselytic

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ATI Med Surg exam 2 III Questions

Extract:


Question 1 of 5

A nurse is caring for a client in the emergency department (ED). The client presents with substernal chest pain that comes and goes. The client states that the pain has been occurring for the last 6 hours. The pain, at times, radiates down the left arm. The client also reports intermittent nausea. The client appears pale and slightly diaphoretic. The client rates current pain as 8 on a scale of 0 to 10. The nurse is planning care for the client. For each potential prescription, indicate whether it is indicated, nonessential, or contraindicated.

OptionsIndicatedNonessentialContraindicated
Administering oxygen to maintain oxygen saturation >94%.
Intubation.
Continuous ECG monitoring.
Obtain the client's family history of cardiovascular disease.

Correct Answer: A,C

Rationale: Administering oxygen to maintain oxygen saturation >94% is indicated to prevent myocardial hypoxia in suspected acute coronary syndrome. Continuous ECG monitoring is essential to detect arrhythmias, ischemia, and ST changes.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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