ATI Cardiovascular Assessment
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Terms in this set (28)
A nurse in an emergency D. Assisting with thrombolytic therapy
department is caring for a
client who had an anterior the nurse should recognize that major surgery within 3
myocardial infarction. The weeks is a contraindication for thrombolytic therapy
client's history reveals she
is 1 week postoperative
following an open
cholecystectomy. The
nurse should recognize
that which of the following
interventions is
contraindicated?
A. Administering IV
morphine sulfate
B. Administering oxygen at
2 L/min via nasal cannula
C. Helping the client to
the bedside commode
D. Assisting with
thrombolytic therapy
,A nurse in an emergency C. Elevate the head of the client's bed
department is caring for a
client who has a blood
pressure of 254/139 mm the greatest risk to the client is organ injury due to
Hg. The nurse recognizes severe HTN. elevating the clients HOB reduces blood
that the client is in a pressure and promotes oxygenation
hypertensive crisis. Which
of the following actions
should the nurse take
first?
A. Initiate seizure
precautions
B. Tell the client to report
vision changes
C. Elevate the head of the
client's bed
D. Start a peripheral IV
A nurse in an emergency A. Confusion
room is assessing a client
who has a brady dysrhythmia can cause a decrease in systemic
bradydysrhythmia. Which perfusion which can cause confusion -- monitor
of the following findings mental status
should the nurse monitor
for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
, A nurse is admitting a C. Inquire about the presence or absence of
client who has a leg ulcer claudication
and a history of diabetes
mellitus. The nurse should knowing if the client is experiencing claudication can
use which of the following help differentiate PVD from PAD. PAD experiences
focused assessments to claudication, PVD does not
help differentiate between
an arterial ulcer and a
venous stasis ulcer?
A. Explore the client's
family history of
peripheral vascular
disease
B. Note the presence or
absence of pain at the
ulcer site
C. Inquire about the
presence or absence of
claudication
D. Ask if the client has had
a recent infarction
Save
Terms in this set (28)
A nurse in an emergency D. Assisting with thrombolytic therapy
department is caring for a
client who had an anterior the nurse should recognize that major surgery within 3
myocardial infarction. The weeks is a contraindication for thrombolytic therapy
client's history reveals she
is 1 week postoperative
following an open
cholecystectomy. The
nurse should recognize
that which of the following
interventions is
contraindicated?
A. Administering IV
morphine sulfate
B. Administering oxygen at
2 L/min via nasal cannula
C. Helping the client to
the bedside commode
D. Assisting with
thrombolytic therapy
,A nurse in an emergency C. Elevate the head of the client's bed
department is caring for a
client who has a blood
pressure of 254/139 mm the greatest risk to the client is organ injury due to
Hg. The nurse recognizes severe HTN. elevating the clients HOB reduces blood
that the client is in a pressure and promotes oxygenation
hypertensive crisis. Which
of the following actions
should the nurse take
first?
A. Initiate seizure
precautions
B. Tell the client to report
vision changes
C. Elevate the head of the
client's bed
D. Start a peripheral IV
A nurse in an emergency A. Confusion
room is assessing a client
who has a brady dysrhythmia can cause a decrease in systemic
bradydysrhythmia. Which perfusion which can cause confusion -- monitor
of the following findings mental status
should the nurse monitor
for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
, A nurse is admitting a C. Inquire about the presence or absence of
client who has a leg ulcer claudication
and a history of diabetes
mellitus. The nurse should knowing if the client is experiencing claudication can
use which of the following help differentiate PVD from PAD. PAD experiences
focused assessments to claudication, PVD does not
help differentiate between
an arterial ulcer and a
venous stasis ulcer?
A. Explore the client's
family history of
peripheral vascular
disease
B. Note the presence or
absence of pain at the
ulcer site
C. Inquire about the
presence or absence of
claudication
D. Ask if the client has had
a recent infarction
