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ATI Med Surg exam 2 III Questions

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Question 1 of 5

A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, shortness of breath, and nausea. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Obtaining an EKG is crucial for diagnosing myocardial infarction by assessing electrical activity of the heart. It helps identify ischemia or infarction. Early detection of abnormalities ensures prompt treatment and reduces complications.

Question 2 of 5

A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?

Correct Answer: C

Rationale: Digoxin toxicity often manifests as visual disturbances, such as yellow or blurred vision, due to its effect on the central nervous system.

Question 3 of 5

A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, shortness of breath, and nausea. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Obtaining an EKG is crucial for diagnosing myocardial infarction by assessing electrical activity of the heart. It helps identify ischemia or infarction. Early detection of abnormalities ensures prompt treatment and reduces complications.

Question 4 of 5

A nurse is interpreting a client's ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?

Correct Answer: B

Rationale: The QT interval measures the total time taken for both ventricular depolarization and repolarization.

Question 5 of 5

Review the EKG shown below, which displays rapid, erratic electrical impulses causing ineffective quivering instead of coordinated contraction. What should be the nurse's initial intervention?

Correct Answer: B

Rationale: Initiating CPR and preparing for defibrillation are crucial for ventricular fibrillation, a life-threatening arrhythmia requiring immediate intervention.

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