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ATI Med Surg Nurs 300 Day Exam 4 Questions

Extract:


Question 1 of 5

The client tells the nurse, 'My physician told me that I had a non-ST elevation myocardial infarction (NSTEMI). ' I thought all heart attacks were the same. Can you explain this to me?' The nurse's best response to the client's question would be: 'NSTEMI is

Correct Answer: D

Rationale: NSTEMI involves partial coronary blockage and is less severe than STEMI, which involves full blockage and ST elevation on ECG.

Question 2 of 5

The nurse monitors the client in the immediate hours following an anterior-lateral wall myocardial infarction for the development of:

Correct Answer: B

Rationale: Ventricular dysrhythmias are a common and life-threatening complication in the immediate hours following an anterior-lateral wall myocardial infarction due to electrical disturbances caused by myocardial injury.

Question 3 of 5

The nurse is caring for a client diagnosed with multiple sclerosis (MS) who is complaining of diplopia. Which intervention would be appropriate for the client with this problem?

Correct Answer: C

Rationale: Alternating an eye patch on each eye reduces diplopia in MS by preventing double vision caused by eye muscle misalignment.

Question 4 of 5

The nurse is caring for a client who is post-operative day 3 following coronary artery bypass graft (CABG). Which client statement indicates a need for further teaching?

Correct Answer: D

Rationale: Both statements A and B indicate a need for further teaching. A diet high in saturated fats increases cardiac risk, and avoiding physical activity hinders recovery. Clients should follow a heart-healthy diet and engage in gradual physical activity.

Question 5 of 5

The physician orders 500 mg PO of medication. The Medication is supplied as a suspension 125 mg/5mL. How many mL will the nurse administer for one dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: A

Rationale: The dose is 500 mg, and the suspension is 125 mg/5 mL. Proportion: 125 mg / 5 mL = 500 mg / x mL. Solving gives x = 20 mL.

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The nurse administers IV nitroglycerin to a client diagnosed with an acute myocardial infarction. In evaluating the effectiveness of this intervention, the nurse should monitor for:
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