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ATI nur 221 med surg exam Cardiac

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Total Questions : 53

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Question 1:

A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?

Answer and Explanation

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Question 2:

A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?

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Question 3:

The nurse is caring for a diabetic client who had a Coronary Angiography two hours ago. Which of the following orders should the nurse question?

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Question 4:

A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?

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Question 5:

The nurse recognizes which of the following as a risk factor for obstructive sleep apnea?

Answer and Explanation

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Question 6:

The nurse is assessing the client diagnosed with COPD. Which of the following would require immediate attention by the nurse?

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Question 7:

The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?

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Question 8:

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

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Question 9:

The emergency room nurse is assessing a client with jugular venous distention, ascites, shortness of breath, and a 3-pound weight gain in the past 24 hours. Which of the following would the nurse anticipate being ordered?

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Question 10:

The nurse is to administer heparin to a client who weighs 90 pounds. Heparin is ordered as 10,000 units/100mL. The nurse needs to administer a bolus of 40units/kg. How many units would the nurse administer? (Round to the nearest tenth)

Answer and Explanation
Correct Answer: "1636.4" units

Explanation

  • Convert pounds to kilograms:
    • Weight in kilograms = 90 pounds / 2.2 pounds/kg = 40.9090... kg. For practical purposes, we can round to 40.91kg.
  • Calculate the heparin dose:
    • The ordered bolus dose is 40 units/kg.
    • Heparin dose = 40.91 kg 40 units/kg = 1636.4 units.
  • Round to the nearest tenth:
    • The heparin dose is 1636.4 units.

= 1636.4 units


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