ATI Med Surg Cardiac Exam | Nurselytic

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ATI Med Surg Cardiac Exam Questions

Extract:

Nurses' notes
A&O x 3. Skin cool, clammy, pale. Respirations labored at 30/min, shallow. Coarse crackles throughout bilateral lung fields. O2 saturation 88% on room air. Jugular vein distention (JVD) present bilaterally. Heart sounds moderate and regular, rate 98/min. BP 114/78 mm Hg. Temperature 87.8° C (99.9° F). Denies pain


Question 1 of 5

Complete the diagram by specifying 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.

Actions to take A. Recommend smoking cessation program B. Apply O2 at 6L/min C. Apply O2 at 2L/min D. Monitor respiratory rate
Potential conditions A. Spontaneous pneumothorax B. Exacerbation of copd C. Pneumonia D. Worsening of congestive heart failure
Parameters to monitor A. Respiratory rate B. Oxygen saturation C. WBC Count D. Temperature

Correct Answer: D,E,G

Rationale: Worsening congestive heart failure is indicated by crackles, JVD, and low O2 saturation; oxygen and monitoring respiratory rate and O2 saturation are critical.

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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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