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ATI Med Surg Nurs 300 Day Exam 4 Questions

Extract:


Question 1 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 2 of 5

The nurse would check for leaks in the chest tube and water seal system when:

Correct Answer: A

Rationale: Continuous bubbling in the water-seal chamber suggests a potential air leak in the system, which needs to be investigated. The water-seal chamber is designed to prevent backflow of air into the pleural space, and persistent bubbling typically indicates that air is escaping from the pleural cavity or there is a problem with the tubing or chest tube placement.

Question 3 of 5

A client is admitted to the Emergency Department (ED) with a suspected ST elevation myocardial infarction (STEMI) involving the inferior wall. The nurse anticipates that this client will be immediately scheduled for the cardiac catheterization laboratory. The goal of treatment is to:

Correct Answer: B

Rationale: The primary goal in STEMI is to restore blood flow to the heart muscle via PCI to minimize myocardial damage.

Question 4 of 5

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:

Correct Answer: D

Rationale: Hypoxemia refractory to oxygen therapy is a hallmark of ARDS, indicating severe lung injury and impaired gas exchange.

Question 5 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.

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