ATI RN
ATI Med Surg Quiz Questions
Extract:
Nurse's Notes
1245:
The client complains of dyspnea with daily activities, loss of appetite, and swelling in the feet. Client states he has a medical history of heart failure, type 2 diabetes, and an NSTEMI 2 years ago with 2 stents placed. Current vital signs are: blood pressure 168/91 mmHg, pulse rate 55/min, respiratory rate 20/min, 02 saturation 94% on 4L nasal cannula.
Labs show blood glucose 158 mg/dL, troponin 0.02 ng/mL, BNP 1,200 pg/mL, potassium 3.1 mEq/L. 3+ pitting edema to bilateral lower extremities noted. Crackles auscultated in bilateral lungs.
Question 1 of 5
Based on the nurse's assessment findings, select the specific interventions and orders the nurse would expect to implement for this client.
Correct Answer: A,D,F,G
Rationale: A: Administering furosemide 40 mg via IV push once is appropriate for treating fluid overload. D: Monitoring daily weights is crucial for assessing fluid balance. F: Monitoring strict intake and output helps in managing fluid balance. G: Preparing the client for an echocardiogram is appropriate to assess cardiac function.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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