ATI Advanced Med Surg Exam 3 | Nurselytic

Questions 60

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ATI Advanced Med Surg Exam 3 Questions

Extract:

Nurses' Notes
0930:
The client arrives to the ED and reports a "fluttering" and "racing" heartbeat. The client also reports dizziness and shortness of breath.
0945:
Client placed on telemetry, cardiac rhythm is irregular, tachycardia and has unclear P waves. 0955:
Doctor in to assess patient. Orders received.

Vital Signs
0940:
Blood pressure 165/88 mm Hg Pulse rate 126/min Respiratory rate 22/min
Oxygen saturation 94% on room air


Question 1 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Action to Take

Prepare the client for defibrillation
Administer an anticoagulant
Teach the client to perform a vagal maneuver
Obtain a 12 lead ECG
Administer adenosine IV push

Potential Condition

Manifestations of stroke
Hypokalemia
PTT/INR
Prolonged PR Interval
Central nervous system side effects

Parameter to Monitor

Supraventricular tachycardia
Atrial fibrillation
Sinus tachycardia
Ventricular fibrillation

Correct Answer:

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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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