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NCLEX Exam 2 Study Guide

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NCLEX Exam 2 Study Guide contains study guide notes which are simplified and easy to understand. The topics include cardiac ,ear, endocrine and many others i.e. Cardiac A client admitted to the hospital with chest pain ...

NCLEX Exam 2 Study Guide contains study guide notes which are simplified and easy to understand. The topics include cardiac ,ear, endocrine and many others i.e. Cardiac A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure? Metformin A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL/hour for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for the subsequent hour was 25 mL. Daily laboratory results indicate that the blood urea nitrogen level is 45 mg/dL (16 mmol/L) and the serum creatinine level is 2.2 mg/dL (194 mcmol/L). On the basis of these findings, the nurse would anticipate that the client is at risk for which problem? Acute Kidney Injury The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 seconds, and QRS complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute. Which action should the nurse take? Continue to monitor A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse sees no electrocardiographic complexes on the screen. Which is the priority nursing action? Check the client's status and lead placement. The nurse is evaluating a client's response to cardioversion. Which assessment would be the priority? Status of airway The nurse is caring for a client who has just had implantation of an automatic internal cardioverter-defibrillator. The nurse should assess which item based on priority? Activation status of the device, heart rate cutoff, and number of shocks it is programmed to deliver A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR interval is 0.14 seconds, the QRS complex measures 0.08 seconds, and the PP and RR intervals are regular. How should the nurse correctly interpret this rhythm?

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