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Medical-Surgical Nursing 2 (NURSA 225 01C) - University of Charleton

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Total Questions : 51

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Question 1:

Please identify the following rhythm:

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Question 2:

When assisting with defibrillating an adult client who has gone into ventricular fibrillation, what must the nurse do?

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Question 3:

A client converts from normal sinus rhythm at 80 bpm to atrial fibrillation with a ventricular response at 165 bpm.

Blood pressure is 162/74 mm Hg. Respiratory rate is 20 breaths per minute with normal chest expansion and clear lungs bilaterally.

IV heparin and Diltiazem are given.

What is the main goal of treatment?

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Question 4:

The nurse is doing discharge teaching with a client who has coronary artery disease.

The client asks why he has to take an aspirin every day if he doesn’t have any pain.

What would be the nurse’s best response?

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Question 5:

A nurse is describing the process by which blood is ejected into circulation as the chambers of the heart become smaller.
How does the nurse categorize this action of the heart?

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Question 6:

An older adult client’s assessment reveals the following data: Lying BP 144/82 mm Hg, sitting BP 121/69 mm Hg, standing BP 98/56 mm Hg. What nursing diagnosis should be identified in the client’s plan of care?

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Question 7:

Identify the following rhythm:

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Question 8:

The patient’s cardiac rhythm suddenly changes on the monitor.

There are no P waves, instead there are fibrillatory waves before each QRS complex.

How would the nurse interpret the rhythm?

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Question 9:

A client with angina has been prescribed nitroglycerin.
Before administering the drug, what potential adverse effects should the nurse inform the client about?

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Question 10:

The ED nurse is caring for a client who has gone into cardiac arrest.
During external defibrillation, what action should the nurse perform?

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