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ATI Med Surg Nurs 300 Day Exam 4 Questions

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Question 1 of 5

The nurse is to begin a nitroglycerin infusion for a client diagnosed with an anterior wall myocardial infarction. Which assessment finding should the nurse report to the provider immediately?

Correct Answer: D

Rationale: A blood pressure of 90/50 mmHg is significantly low and could indicate hypotension, a known side effect of nitroglycerin infusion. This can compromise perfusion to vital organs and may require adjustment or discontinuation of the infusion, making it the most urgent finding to report.

Question 2 of 5

The nurse is caring for a client whose arterial blood gas reveals partially compensated respiratory alkalosis. Which results are consistent with this finding?

Correct Answer: C

Rationale: High pH (7.64), low PaCO2 (23 mmHg), and low HCO3 (14 mEq/L) indicate partially compensated respiratory alkalosis due to hyperventilation with renal compensation.

Question 3 of 5

The nurse is caring for a client diagnosed with pneumonia. Which medication will the nurse administer for treatment of client's problem of ineffective airway clearance?

Correct Answer: C

Rationale: Guaifenesin is an expectorant that helps loosen mucus, facilitating productive coughing to clear airways in pneumonia.

Question 4 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 5 of 5

The nurse is caring for a client three hours after percutaneous coronary intervention (PCI) with stent placement. The client now complains of 5/10 chest pain. The client is visibly diaphoretic and anxious. The ECG shows ST segment elevations. The vital signs are as follows: BP: 156/82, HR: 110, RR: 20, T: 98.6, and Sp02: 94% on 2L nasal canula. The nurse anticipates which intervention in this situation?

Correct Answer: D

Rationale: Chest pain with ST elevations post-PCI suggests reocclusion, requiring repeat PCI to restore coronary blood flow.

Similar Questions

The nurse is caring for a client who is 3 hours post-operative following a right lobectomy for lung cancer. The client has shallow respirations at a rate of 14/minute with guarding of the operative site. The breath sounds are diminished throughout the left lung field. The nurse assigns the highest priority to which intervention to prevent acute respiratory failure?
The nurse is analyzing a client's arterial blood gas (ABG) values with the following results: pH 7.44, PaCO2 30 mmHg, Pa02 90 mmHg, and HCO3 18mEg/L. Which acid base Imbalance should the nurse associate with these results?
The nurse caring for a critically ill client would suspect the development of acute respiratory distress syndrome (ARDS) in which of the following situations? The client with:
The nurse is caring for a client whose arterial blood gas reveals fully compensated metabolic acidosis. Which results are consistent with this finding?
The nurse would check for leaks in the chest tube and water seal system when:

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