ATI MED SURG PROCTORED > EXAM > ATI ADVANCED MED SURG PROCTORED 2023/2024 WITH GLASGOW COMA SCALE REAL EXAM STUDY QUESTIONS WITH VER (All)
A client comes into the ER with complains of midsternal chest pain radiating to the neck and left arm which is unrelieved by sublingual nitroglygen. An electrocardiogram (ECG) is obtained. What obse... rvation on the ECG or on the cardiac monitor would indicate to the nurse the need to immediately notify the physician? - Answer>>>An ST segment elevation from the isoelectric baseline. A client arrives at the emergency department with deep partial thickness and burns over 15% of his body. At admission his vital signs are blood pressure 100/50 mm Hg, heart rate 130 beats/minute and respiratory rate 20 breaths/minute. Which nursing intervention are appropriate for this client? Select all that apply - Answer>>>A. Starting an IV infusion of lactated Ringers solution A. Administering 6mg of morphine IV B. Administering tetanus prophylaxis as ordered If dietary trays are usually brought to the nursing unit at 8:00am the nurse should plan to administer intermediate- acting insulin (Humlin N) 40 units SQ to the client between? - Answer>>>630am and 700 am Which of these findings is the best indicators that the fluid resuscitation for a patient with hypovolemic shock has been successful? - Answer>>>Urine output is 60 mL over the last hour Which interventions will the nurse include in the plan of the care for a patient who has cardiogenic shock? - Answer>>>Monitor breath sounds frequently Which assessment is most important for the nurse to make in order to evaluate whether treatment of a patient with anaphylactic shock has been effective? - Answer>>>Oxygen saturation When caring for the patient who has septic shock, which assessment finding is most important for the nurse to report to the health care provider? (TB ch.67 Q.17) - Answer>>>Skin cool and clammy What ECG changes would reflect myocardial ischemia in a client who has been admitted for observation after experiencing an episode of chest pain? - Answer>>>ST segment elevation or depression [Show More]
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