Questions 40

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ATI RN NSG 232 Exam Med Surg Questions

Extract:


Question 1 of 5

A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?

Correct Answer: A

Rationale: Checking for increased bruising is important because atrial fibrillation can lead to blood clots, and anticoagulants may cause bruising.

Question 2 of 5

A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:

Correct Answer: A

Rationale: Petechiae indicate potential bleeding or thrombocytopenia, a side effect of heparin therapy.

Question 3 of 5

A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, 'I do not need to be here. I am feeling so much better, I can do this at home'. Which of the following is the appropriate nursing response?

Correct Answer: A

Rationale: This response emphasizes the importance of cardiac rehab for safe recovery and activity resumption.

Question 4 of 5

A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client's coronary blood vessels?

Correct Answer: B

Rationale: IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the myocardium.

Question 5 of 5

A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse notes a carotid pulse with a BP of 70 systolic, the client reports feeling dizzy. The nurse should anticipate the need for which priority action?

Correct Answer: D

Rationale: Synchronized cardioversion is appropriate for unstable VT with a pulse to restore normal rhythm.

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