ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 of 5
A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?
Correct Answer: Digoxin is used to treat heart failure and atrial fibrillation, but it doesn't directly address the fluid accumulation in the lungs caused by pulmonary edema. Captopril, furosemide, and carvedilol are more directly beneficial for managing pulmonary edema.
Rationale:
Question 2 of 5
The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?
Correct Answer: Dental work can introduce bacteria into the bloodstream, which can lead to infective endocarditis, especially in individuals with prosthetic heart valves. Heart attack, immunizations, and family history are not specific risk factors for IE.
Rationale:
Question 3 of 5
A patient is admitted to the emergency department and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question would the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?
Correct Answer: The time of pain onset is crucial in determining eligibility for thrombolytic therapy. Thrombolytic therapy is most effective when given within a certain time frame from the onset of symptoms. Aspirin use, allergies, and pain severity are less relevant for eligibility.
Rationale:
Question 4 of 5
After receiving a change-of-shift report on four patients, which patient would the nurse assess first?
Correct Answer: Acute aortic regurgitation can lead to a rapid and severe drop in blood pressure, which is a medical emergency. Therefore, this patient should be assessed first. Crackles, endocarditis symptoms, and chest pain are less immediately life-threatening.
Rationale:
Question 5 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: