ADVANCED ADULT ATI QUESTIONS WITH COMPLETE SOLUTIONS

A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI? angina can be relieved with rest and nitro the pain of an MI resolves in less than 15 minutes the type of activity that causes an MI can be identified angina can occur for longer than 30 minutes 1 of 64 Term A nurse is assessing a client who is undergoing hemodynamic monitoring. The client has a CVP of 7 mmHg and a PAWP of 17. which of the following assessment findings should the nurse expect? (Select all that apply) poor skin turgor bilateral crackles in the lungs JVD dry mucous membranes hepatomegaly 2 of 64 Term A nurse is caring for a client who has pericarditis. Which of the following findings should the nurse expect? petechiae murmur rash friction rub 3 of 64 Term A nurse is completing discharge teaching with a client who had a surgical placement of a mechanical heart valve. Which of the following statements indicates understanding of the teaching? I will be glad to get back to my exercise routine right away I will have my prothrombin time checked on a regular basis I will talk to my dentist about no longer needing antibiotics before dental exams I will continue to limit my intake of foods containing potassium 4 of 64 Term A nurse is planning postop care for a client following a kidney transplant surgery. Which of the following actions should the nurse include in the plan of care? (Select all that apply) obtain daily weights assess dressings for bloody drainage replace hourly urine output with IV fluids expect oliguria in the first 4 hr monitor serum electrolytes 5 of 64 Term A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates effectiveness of the teaching? air should be instilled into the monitoring system prior to the procedure the client should be positioned on the left side during the procedure the transducer should be level with the second intercostal space after the line is placed a CXR is need to verify placement afterwards 6 of 64 Term A nurse is reviewing the ABG lab results of a client who is in respiratory distress-- pH: 7.47, PaCO2: 32, HCO3: 22. The nurse should recognize