ATI MED SURG EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

ATI MED SURG EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (255) A nurse is caring for client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following actions should then nurse take? a. Defibrillate the client's heart. b. Perform synchronized cardioversion. c. Begin cardiopulmonary resuscitation. d. Administer lidocaine IV bolus. b. Perform synchronized cardioversion. The nurse should perform synchronized cardioversion for a client who has supraventricular tachycardia. What rhythms are shockable? (defibrillation) ventricular fibrillation and pulseless ventricular tachycarida What dysrhythmia are amiodarone and lidocaine indicated for? ventricular arrhythmias The nurse should initiate CPR for a client who what? is pulseless or not breathing A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? A. Enoxaparin B. Metformin C. Diazepam D. Digoxin D. digoxin Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These medications can increase ventricular irritability and put the client at risk for ventricular fibrillation after the synchronized countershock of cardioversion _ are usually given prior to cardioversion to reduce anxiety and minimize discomfort with the procedure. Sedatives like diazepam Metformin is held before what kind of procedures? Example? Why? Ones that involve contrast dye like cardiac catheterization, in order to prevent kidney damage. _ prevent blood clots that can be released into the circulatory system after cardioversion. Anticoagulants like enoxaparin What kind of drugs are withheld prior to cardioversion? cardiac glycosides like digoxin exopthalmosis condition produced by hyperthyroidism in which the eyeballs protrude beyond their normal protective orbit because of swelling in the tissues behind them entropion the inversion of the edge of an eyelid ectropion the eversion of the edge of an eyelid ptosis drooping A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? A. Obtain ABGs. B. Administer propofol to the client. C. Instruct the client to allow the machine to breathe for them. D. Disconnect the machine and manually ventilate the client. C. Instruct the client to allow the machine to breathe for them. When providing client care, the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should take is to provide verbal instructions and emotional support to help the client relax and allow the ventilator to work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator." A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings should the nurse expect? A. Positive Trousseau's sign B. 4+ deep tendon reflexes C. Deep respirations D. Hypoactive bowel sounds D. Hypoactive bowel sounds