ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 of 5
The nurse is assessing a patient with myocarditis before giving a scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?
Correct Answer: An irregular pulse could indicate that myocarditis is affecting the heart's electrical system, leading to an irregular heartbeat or arrhythmia. This could potentially affect the action of digoxin, a medication used to treat heart conditions, and therefore should be communicated to the healthcare provider.
Rationale:
Question 2 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 3 of 5
A patient who has recently had an acute myocardial infarction (AMI) ambulates in the hospital hallway. Which data would indicate to the nurse that the patient should stop and rest?
Correct Answer: An increase in heart rate from 66 to 98 beats/min indicates that the heart is working harder, which could be a sign of stress or exertion. This is a significant increase and could indicate that the patient needs to rest. O2 saturation, respiratory rate, and BP changes are within normal ranges.
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Question 4 of 5
While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?
Correct Answer: Furosemide is a diuretic that can cause the body to lose potassium, so it's important to consume potassium-rich foods. The other statements are correct regarding blood pooling, medication adherence, and orthostatic hypotension.
Rationale:
Question 5 of 5
Which patient statement indicates that the nurse's teaching about sublingual nitroglycerin (Nitrostat) has been effective?
Correct Answer: If chest pain is not relieved 5 minutes after taking nitroglycerin, it is recommended to call an ambulance. Nausea is not a common side effect, nitroglycerin should be stored in a dark place, and it can also be taken prophylactically.
Rationale: