Questions 49

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ATI Med Surg Nurs 300 Day Exam 4 Questions

Extract:


Question 1 of 5

The nurse prepares discharge instructions for the client diagnosed with a myocardial infarction. Which client statement indicates a need for further education? 'I will take:

Correct Answer: A

Rationale: Sublingual nitroglycerin is used as needed for chest pain, not daily for prevention, indicating a need for further education.

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

What is the first action the nurse should take with the accidental dislodgement of a chest tube?

Correct Answer: C

Rationale: Applying a sterile dressing taped on three sides prevents air entry into the pleural space, reducing pneumothorax risk until further intervention.

Question 4 of 5

A patient is prescribed 500 ml of Normal Saline to be infused over 90 minutes. The drop factor on the tubing is 10 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (Round to the nearest whole number)

Correct Answer: A

Rationale: The infusion rate is calculated as 500 mL / 90 min = 5.5556 mL/min. With a drop factor of 10 gtt/mL, the drip rate is 5.5556 mL/min x 10 gtt/mL = 55.556 gtt/min, rounded to 56 gtt/min.

Question 5 of 5

The nurse prepares discharge instructions for the client diagnosed with a myocardial infarction. Which client statement indicates a need for further education? 'I will take:

Correct Answer: A

Rationale: Sublingual nitroglycerin is used as needed for chest pain, not daily for prevention, indicating a need for further education.

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