NUR 114 Fall 2021 ATI Perfusion Practice

A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?

1 cup canned black beans

A nurse in an urgent care center is assessing a client who reports a sudden onset of a regular palpation, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

Atrial fibrillation

A nurse is caring for a client who has a cardio pulmonary arrest. The nurse anticipates emergency response team administer which of the following medication if the client restore rhythm is symptomatic bradycardia?

Atropine

A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, pointing click on the area of the electrocardio gram that represents the T-wave.

Box all the way to the right

The nurse is caring for a client who has valvular heart disease and is at risk for developing left sided heart failure. Which of the following manifestation should alert the nurse that client is developing this condition?

Breathlessness

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia. The nurse should anticipate any for taking which of the following actions?

Elective cardioversion

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication?

Heart rate 46/minute

A nurse is assessing a client who has hypercholesteremia and is receiving simvastatin. Which of the following findings should the nurse recognized as a potential adverse effect?

Muscle weakness

A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitoring strip?

Pacemaker spikes before each QRS complex

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?

Perform a 12 lead ECG

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

Poor impulse control

A nurse is caring for a client who has chronic renal disease and is receiving therapy with Epoetin Alpha. Which of the following laboratory results should the nurse review for an indication of a therapeutic effects of the medication?

The hematocrit

A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include?

You might have to stop taking this medication 5 days before any planned surgeries.

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

anorexia

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

antiplatelet aggregate

A nurse is reviewing the EKG strip of a client who has prolong vomiting. Which of the following abnormalities on the clients EKG should the nurse interpret as a sign of hypo kalemia?

Abnormally prominent U wave

A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

Schilling test

A nurse is reinforcing teaching with a client regarding reduction of risk factors for a coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

-I must stop smoking -I need to monitor my weight -I am limiting my intake a fast foods

A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurses priority?

Defibrillation

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The clients vital signs are as follows: blood pressure of 198/110 MMHG, pulse of 82/minute, respirations of 24/minute, and a temperature of 38.2°C (100.8°F). Which of the following neurological disorder should the nurse suspect?

Hemorrhagic stroke

A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?

Initiate oxygen therapy

A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristic should the nurse expect?

Irregular

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

Measure the client apical pulse

A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the clients pain and anxiety?

Morphine

A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory value should the nurse monitor for this client due to this medication?

Potassium

A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should instruct the client to monitor for which of the following complications?

Pulmonary embolism

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognized as a normal sinus rhythm?

The P-wave falls before the QRS complex

A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?

The client experiences sudden weakness of one arm and leg

A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?

To reduce the risk of stroke in clients who have atrial fibrillation

A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory test shut the nurse anticipate the provider to prescribe?

Troponin I

Nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects in myocardial infarction. While waiting for the troponins levels report, the client asked what is blood test will show. Which of the following explanation should the nurse provide the client?

Troponins is a heart muscle protein that appears in the bloodstream when there is damage to the heart