Questions 65

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ATI Nur201 FA2 Med Surg 2 Exam Questions

Extract:


Question 1 of 5

A nurse is caring for an older adult client whose wife passed away a month ago with cardiac issues and is currently being treated for similar cardiac issues. He is tearful and states, 'How could you possibly understand what I am going through?' Which of the following is an appropriate response by the nurse?

Correct Answer: A

Rationale: This response acknowledges the client's feelings and validates their experience, encouraging further expression of emotions in an empathetic manner.

Question 2 of 5

A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which statement by the client indicates a need for clarification?

Correct Answer: C

Rationale: The statement that a family member must be chosen as the health care proxy is incorrect; any trusted individual can be selected.

Question 3 of 5

The nurse is teaching a client with atrial fibrillation about the need to begin long-term anticoagulant therapy. Which explanation should the nurse use to best describe the reasoning for this therapy?

Correct Answer: B

Rationale: In atrial fibrillation, sluggish blood flow in the quivering atria increases the risk of clot formation, necessitating anticoagulant therapy.

Question 4 of 5

A client admitted to the hospital with suspected myasthenic crisis was prescribed edrophonium (Tensilon). The nurse misread the dosage and administered a higher dose than prescribed. The doctor has ordered an antidote to be given. What medication does the nurse anticipate administering?

Correct Answer: D

Rationale: Atropine is the antidote for edrophonium overdose, counteracting excessive acetylcholine accumulation.

Question 5 of 5

A nurse is caring for a client who is found unresponsive and pulseless in their room. An ECG confirms the client is in pulseless ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

Correct Answer: A

Rationale: Defibrillation is the appropriate intervention for pulseless ventricular tachycardia to restore a normal rhythm.

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