ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 of 5
A patient who has heart failure recently started taking digoxin in addition to furosemide and captopril. Which finding by the home health nurse is a priority to communicate to the health care provider?
Correct Answer: A serum potassium level of 3.0 mEq/L is below the normal range (3.5-5.0 mEq/L), indicating hypokalemia, which can cause serious complications, especially with digoxin. Weight increase, liver palpation, and edema are concerning but less urgent.
Rationale:
Question 2 of 5
A patient who has heart failure recently started taking digoxin in addition to furosemide and captopril. Which finding by the home health nurse is a priority to communicate to the health care provider?
Correct Answer: A serum potassium level of 3.0 mEq/L is below the normal range (3.5-5.0 mEq/L), indicating hypokalemia, which can cause serious complications, especially with digoxin. Weight increase, liver palpation, and edema are concerning but less urgent.
Rationale:
Question 3 of 5
Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been effective?
Correct Answer: Limiting salt and fluid intake is crucial for patients with restrictive cardiomyopathy to manage their condition. Avoiding aspirin, taking antibiotics, and restarting exercise are not specific to this condition's self-management.
Rationale:
Question 4 of 5
The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain may be from an acute myocardial infarction?
Correct Answer: Chest pain that lasts for 20 minutes or more is characteristic of an acute myocardial infarction (AMI). Pain with deep breathing, relief with nitroglycerin, or reproducibility with arm movement suggests other causes.
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Question 5 of 5
Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?
Correct Answer: Jugular venous distention (JVD) is a common sign of chronic constrictive pericarditis. If JVD is not present, it may indicate that the therapies are effective. ST segment changes, sedimentation rate, and paradoxical pulse are not specific to this condition.
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