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Which patient should the nurse assess first?
a. 2nd degree Mobitz 1
b. 1st degree AV block
c. occasional PVCs
d. ST elevation - d. ST elevation
This indicates the pt is having a STEMI now
The patient is in V-fib and code blue has been activated. What setting with the nurse
use on the defibrillator?
a. cardiovert
b. pace
c. defibrillate - c. defibrillate
The patient's BP is 80/50 and has a 1+ brachial pulse. What drug is now indicated?
,a. amiodarone
b. metoprolol
c. amlodipine
d. atropine
e. nitroglycerine - d. atropine
This is a cholinergic drug that increase HR and BP
A client diagnosed with shock is prescribed dobutamine. Which finding indicates this
medication is effective?
a. BP decreases from 160/120 to 140/88
b. urine output increases from 20 mL/hour to 40 mL/hour
c. peripheral pulses decrease in strength from 2+ to 1+ bilaterally
d. respirations increase from 10 bpm to 18 bpm - b. urine output increases from 20
mL/hour to 40 mL/hour
Dobutmaine is prescribed to increase cardiac output, which increases perfusion.
When their is increases renal perfusion, urine output will increase as well.
A client is suffering from pericarditis after an MI. What assessment finding will
confirm this medical diagnosis?
a. distended neck veins
b. chest pain is relieved by nitroglycerin
c. chest pain with exertion
d. audible friction rub over left sternal border - d. audible friction rub over left sternal
border
A client is about to received a thrombolytic after an EKG shows changes consistent
with an MI. What information is most important for the nurses to obtain from the
client's family?
a. the client takes amlodipine daily
b. the client takes levothyroxine 100 mcg daily
c. the client is allergic to shellfish
d. the client takes clopidogrel 75 mg daily - d. the client takes clopidogrel 75 mg daily
Clopidogrel is an anti platelet that could interact with a thombolytic and increase the
chances of the pt bleeding out.
Which assignment should the LPN take?
a. 100% capture
b. STEMI
c. complete heart block
d. asystole - a. 100% capture
it has predictable outcomes
, The EKG rhythm strip on telemetry notes 2nd degree Mobitz 1. What will be the
priority action of the nurse?
a. notify the HCP
b. call a rapid response
c. assess the client's pulse oximetry reading
d. assess the client's BP - d. assess the client's BP
The nurse is caring for a client admitted with a purulent draining pressure injury.
What client assessment(s) will alert the nurse that the client could be developing
sepsis?
a. BP 148/78
b. O2 93% on RA
c. RR 28 bpm
d. HR 118 bpm
E. lethargy - b. O2 93% on RA
c. RR 28 bpm
d. HR 118 bpm
E. lethargy
A client with cardiomypathy has an invasive pulmonary artery catheter inserted. The
pulmonary capillary wedge pressure is 18 mmHg and the central venous pressure is
15 mmHg. What medication/parenteral therapy will the nurse anticipate
administering?
a. warfarin PO
b. furosemide IV
c. hetastarch
d. albumin - b. furosemide IV
An elevated PCWP and CVP indicates hypervolemia and signs of CHF.
What interventions can be assigned that could decrease the chance of a client
becoming septic?
a. empty indwelling catheter bag every 12 hrs
b. ambulate the client once a day around the nursing station
c. catheter care q2h
d. mouth care once per shift - c. catheter care q2h
The nurse suspects that a client diagnosed with an MI is developing cardiogenic
shock. What assessment finding led the nurse to conclude the client is developing
cariogenic shock?
a. petechiae over trunk, arms, and legs
b. JVD
c. fever 102.6 F
d. laryngospasm - b. JVD