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ATI Nur 221 Med Surg Exam Cardiac Questions

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Question 1 of 5

The nurse is to administer heparin to a client who weighs 90 pounds. Heparin is ordered as 10,000 units/100mL. The nurse needs to administer a bolus of 40units/kg. How many units would the nurse administer? (Round to the nearest tenth)

Correct Answer: C

Rationale: The correct answer is 1636.4 units. Convert 90 pounds to kilograms (90 / 2.2 = 40.91 kg). Calculate the dose: 40.91 kg × 40 units/kg = 1636.4 units. This matches the provided correct answer, so option C (1636.4 units) is correct.

Question 2 of 5

The nurse is assessing the client diagnosed with COPD. Which of the following would require immediate attention by the nurse?

Correct Answer: D

Rationale: Oxygen flowmeter set on 8 LPM is correct. High-flow oxygen can suppress the hypoxic drive in COPD clients, leading to respiratory depression. The nurse should immediately lower the oxygen to a safer level (typically 1-3 LPM) and monitor the client's respiratory status. Use of accessory muscles, thick white sputum, and barrel chest with clubbing are common in COPD but do not require immediate intervention compared to high oxygen flow.

Question 3 of 5

A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?

Correct Answer: C

Rationale: Smoking cessation is the most effective measure for preventing chronic bronchitis, which is strongly linked to long-term cigarette smoking. Influenza immunization, exercise, and weight maintenance are beneficial but not primary preventive measures.

Question 4 of 5

The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

Correct Answer: A

Rationale: Weight loss is not a common side effect of prednisone. Weight gain due to fluid retention and increased appetite is typical. Dry mouth, hyperglycemia, and decreased wound healing are common side effects.

Question 5 of 5

What is the underlying rationale for why a nurse assesses a client with emphysema for clinical indicators of hypoxia?

Correct Answer: C

Rationale: Lack of adequate surface area for aeration is correct. Emphysema causes alveolar destruction, reducing gas exchange surface area, leading to chronic hypoxia. Mucus production, infections, and bronchiole inflammation are more relevant to chronic bronchitis or other conditions.

Similar Questions

Client presents to the ED with substernal chest pain that comes and goes. The client states that the pain has been occurring for the last 8 hr. The pain, at times radiates down the left arm. Client also reports intermittent nausea Client appears pale and slightly diaphoretic. Client rates current pain as 7 on a scale of 0 to 10. A nurse is caring for a client in the emergency department (ED). The nurse is planning care for the client. For each potential prescription. indicate whether it is indicated, nonessential, or contraindicated.
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