ATI cardiovascular/respiratory practice exam

The nurse is assessing a client who has a history of deep vein thrombosis receiving warfarin the nurse should identify that which of the following findings indicate that this medication is effective

INR 2.0 To reduce the risk of new clot formation and a stroke Normal range 2.0 to 3.0

For a postoperative client one hour following in aortic aneurysm repair which of the following findings indicate shock and should be reported to the provider

20 mL of urine output

A nurse is planning care for a client who has asthma which of the following medication show the nurse plan to administer during an acute asthma attack

Albuterol The nurse should administer albuterol because it acts quickly to produce bronchodilation during an acute asthma attack

I Notes is providing teaching to a client who has chronic asthma and a new prescription for montelukast which of the following client statements indicates an understanding of the teaching

I will take this medication every night even if I don't have symptoms I will take this medication every night even if I don't have symptoms Use for prophylactic treatment of asthma and has taken on a daily basis in the evening

The nurse should monitor the client who is taking an inhaled glucocorticoid such as beclomethasone for

Candidiasis

I nurse receives prescriptions from the provider for performing nasopharyngeal suctioning on for a client for which of the following client should the nurse clarify the providers prescription

Client who has epistaxis The nurse should avoid providing nasopharyngeal suctioning for a client who has nasal bleeding because this intervention might cause an increase and bleeding

I nurse and a emergency room is assessing a client who has Brady dysrhythmia which of the following actions should the nurse monitor for

Confusion

A nurse is caring for a client who has a chest tube following a lobectomy which of the following items are the nurse keep easily accessible for the client

Container of sterile water

I Notes is assessing a client who has a chest tube in Place following thoracic surgery for which of the following findings should the nurse notify the provider

Continuous bubbling in the water seal chamber Suggest an air leak and requires notification of the provider

The nursing and emergency room is caring for a client who has a blood pressure of 254/139 I know it's recognizes that the client is in hypertensive crisis which of the following actions should the nurse take first

Elevate the head of the clients bed

I nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription of rifampin which of the following instruction should the nurse include

Expect your urine and other secretions to be orange while taking this medication

I nurse is caring for a client following insertion of a permanent pacemaker which of the following client statements indicates a potential complication of the insertion procedure

I can't get rid of the hiccups Hiccups can indicate that the pacemaker is stimulating adjust wall or diaphragm which can occur as a result of a lead wire perforation

I nurse is teaching a client who is starting to take an ace in Hibbett her to treat hypertension the nurse should instruct the client to notify his provider if he experiences which of the following adverse effects of this medication

Persistent cough The client should report this finding to the provider and discontinue the medication

I nurse is preparing a client for discharge following a bronchoscopy with the use of moderate sedation the nurse should place a priority on which of the following assessments

Presence of gag reflex The greatest risk to the client is aspiration due to decreased gag reflex

A nurse is caring for a client who is receiving heparin therapy and develops hematuria which of the following actions should the nurse take if the clients APTT is 96 seconds

Stop the heparin infusion The nurse should identify clients APTT is above the critical value and the client is displaying manifestations of bleeding therefore the nurse should discontinue to happen and vision immediately and notify the provider to reduce risk of client injury

I nurse is caring for a client who has asthma and is receiving albuterol for which of the following adverse effects should the nurse monitor for the client

Tachycardia