ATI RN Custom Cardiovascular Med Surg | Nurselytic

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ATI RN Custom Cardiovascular Med Surg Questions

Extract:

Nurses' Notes
0700:
Adolescent alert and oriented, resting in bed in supine position with their legs straight.
Pressure dressing to right femoral area dry and intact.
Bilateral lower extremities warm to touch with equal posterior tibial and dorsalis pedis pulses palpated.
Reports pain as 0 on a scale of 0 to 10. 0730: Adolescent awake, resting in supine position with their legs straight.
Dressing to right femoral area saturated with bloody drainage.
Posterior tibial and dorsalis pedis pulses of right extremity 2+. Right lower extremity cool and pale in color.
Reports pain as 2 on a scale of 0 to 10.

Vital Signs
0700:
• Blood pressure 120/76 mm Hg. Apical pulse rate 90/min.
• Respiratory rate 16/min.
• Temperature 36.6° C (97.9° F). 0730: Blood pressure 100/52 mm Hg. Apical pulse rate 112/min.
• Respiratory rate 18/min.
• Temperature 36.7° C (98.1° F).

Medical History
• Adolescent has no significant past medical history.
• Adolescent was playing basketball last night when they suddenly "passed out" on the court.
• No significant maternal or paternal medical history.


Question 1 of 5

A nurse is caring for an adolescent following a cardiac catheterization. Which of the following assessment findings should the nurse report to the provider?

Correct Answer: Decreased pulses, saturated dressing, significant drop in blood pressure, and cool/pale extremity indicate potential bleeding or vascular complications post-catheterization, requiring immediate reporting. Pulse, position, pain, and respiratory rate changes are less critical.

Rationale:

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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