Questions 34

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ATI LPN Med Surg Level 3 Questions

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Question 1 of 5

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings is a classic presentation of left-sided heart failure?

Correct Answer: A

Rationale: Frothy sputum is a classic symptom of pulmonary congestion caused by left-sided heart failure.

Question 2 of 5

A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?

Correct Answer: C

Rationale: Atrial fibrillation is characterized by an irregularly irregular pulse due to uncoordinated atrial electrical activity.

Question 3 of 5

A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that the P wave represents which of the following cardiac electrical activities?

Correct Answer: D

Rationale: The P wave represents atrial depolarization, which is the electrical activity that triggers the contraction of the atria.

Question 4 of 5

A nurse is preparing to perform a 12-lead electrocardiogram (ECG). Which of the following instructions should the nurse provide to the client?

Correct Answer: C

Rationale: Movement during an ECG can interfere with the results by causing artifact, so it's important for the client to remain still while the test is being performed.

Question 5 of 5

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

Correct Answer: C

Rationale: Measuring the apical pulse for one minute is essential; digoxin should be withheld if the heart rate is below 60 bpm.

Similar Questions

A nurse is preparing to administer digoxin to a client who has heart failure. For which of the following findings should the nurse withhold the medication and report to the provider?
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels. IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?
A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide (Lasix). For which of the following findings should the nurse withhold the medication?
A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?

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