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ATI General Nursing Questions and Answers (1).pdf

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1-About which of the following dysrhythmias in a client should the nurse be most concerned? 1. 2. 3. 4. Explanation: Ventricular fibrillation (VF) is a dysrhythmia that can be lethal and should be treated ...

1-About which of the following dysrhythmias in a client should the nurse be most concerned? 1. 2. 3. 4. Explanation: Ventricular fibrillation (VF) is a dysrhythmia that can be lethal and should be treated immediately with cardiopulmonary resuscitation (CPR) and defibrillation. It is characterized by irregular waveforms of varying shapes and amplitude on the electrocardiogram (ECG). Mechanically, there is no effective contraction, cardiac output, or pulse. (Option 1) Atrial fibrillation (AF) is an abnormal heart rhythm, but the client usually has a pulse. In addition, AF is not as concerning as VF. (Option 2) Premature ventricular contractions (PVCs) can indicate ventricular irritability, but the client has a pulse. (Option 4) Ventricular tachycardia (VT) is a dysrhythmia that can be lethal. A client with VT is prioritized after a client with VF as it is possible to have a pulse in VT. Educational objective: VF is a dysrhythmia that can be lethal. The client does not have a pulse and must be treated immediately with CPR and defibrillation. 2-The clinic nurse is caring for an elderly client who is overweight and being treated for hypertension. What is most important for the nurse to emphasize to prevent a stroke (acute brain attack)? 1. Consume a low-fat, low-salt diet 2. Do not smoke cigarettes 3. Exercise and lose weight 4. Take prescribed antihypertensive medications Explanation: Risk factors for stroke include diabetes, high cholesterol, hypertension, smoking, obesity (particularly in the abdomen), older age, and genetic susceptibility. The single most important modifiable risk factor ishypertension. Stroke risk can be reduced up to 50% with appropriate treatment of hypertension. Because clients often experience side effects from the antihypertensive medications and don't feel bad with untreated hypertension, they may not realize that it is essential to continue the medications. The nurse should therefore emphasize this point. (Option 1) A low-fat, low-salt diet is beneficial to the client, but managing hypertension with medications is most important.

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