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Exam (elaborations)

ATI Cardiovascular Targeted Exam QUESTIONS WITH ANSWERS

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ATI Cardiovascular Targeted Exam QUESTIONS WITH ANSWERS

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ATI Cardiovascular Targeted Exam
|\ |\ |\ |\




QUESTIONS WITH ANSWERS |\ |\




A nurse is providing discharge teaching for a client who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



has a prescription for the transdermal nitroglycerin patch.
|\ |\ |\ |\ |\ |\ |\



Which of the following instructions should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\



include in the teaching? |\ |\ |\




-Apply the new patch to the same site as the previous
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



patch
-Place the patch on an area of skin away from skin folds
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



and joints |\




-Keep the patch on 24 hr per day
|\ |\ |\ |\ |\ |\ |\




-Replace the patch at the onset of angina - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔Place the patch on an area of skin away |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



from skin folds and joints
|\ |\ |\ |\




A nurse in an emergency room is assessing a client who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



has a bradydysrhythmia. Which of the following findings
|\ |\ |\ |\ |\ |\ |\ |\



should the nurse monitor for? |\ |\ |\ |\




-Confusion
-Friction rub |\




-Hypertension

,-Dry skin - CORRECT ANSWERS ✔✔Confusion
|\ |\ |\ |\ |\




Bradydysrhythmia can cause decreased systemic |\ |\ |\ |\ |\



perfusion, which can lead to confusion. |\ |\ |\ |\ |\




A nurse is admitting a client who has a leg ulcer and a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



history of diabetes mellitus. The nurse should use which
|\ |\ |\ |\ |\ |\ |\ |\ |\



of the following focused assessments to help differentiate
|\ |\ |\ |\ |\ |\ |\



between an arterial ulcer and a venous stasis ulcer?
|\ |\ |\ |\ |\ |\ |\ |\ |\




-Explore the client's family history of peripheral vascular
|\ |\ |\ |\ |\ |\ |\ |\



disease
-Note the presence or absence of pain at the ulcer site
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




-Inquire about the presence or absence of claudication
|\ |\ |\ |\ |\ |\ |\




-Ask if the client has had a recent infection - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔Inquire about the presence or absence of |\ |\ |\ |\ |\ |\ |\ |\



claudication


Clients who have arterial ulcers experience claudication,
|\ |\ |\ |\ |\ |\ |\



but those who have venous ulcers do not.
|\ |\ |\ |\ |\ |\ |\




A nurse is providing teaching for a client who is 2 days
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



postoperative following a heart transplant. Which of the |\ |\ |\ |\ |\ |\ |\ |\



following statements should the nurse include in the
|\ |\ |\ |\ |\ |\ |\ |\



teaching?

, -"You might no longer be able to feel chest pain."
|\ |\ |\ |\ |\ |\ |\ |\ |\




-"Your level of activity intolerance will not change."
|\ |\ |\ |\ |\ |\ |\




-"After 6 months, you will no longer need to restrict your
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



sodium intake." |\




-"You will be able to stop taking immunosuppressants
|\ |\ |\ |\ |\ |\ |\ |\



after 12 months." - CORRECT ANSWERS ✔✔"You might no
|\ |\ |\ |\ |\ |\ |\ |\ |\



longer be able to feel chest pain."
|\ |\ |\ |\ |\ |\




Heart transplant clients usually are no longer able to feel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



chest pain due to the denervation of the heart.
|\ |\ |\ |\ |\ |\ |\ |\




A nurse is caring for a client who was admitted for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



treatment of left-sided heart failure with intravenous loop
|\ |\ |\ |\ |\ |\ |\ |\



diuretics and digitalis therapy. The client is experiencing
|\ |\ |\ |\ |\ |\ |\ |\



weakness and an irregular heart rate. Which of the |\ |\ |\ |\ |\ |\ |\ |\ |\



following actions should the nurse take first? |\ |\ |\ |\ |\ |\




-Obtain client's current weight|\ |\ |\




-Review serum electrolyte values |\ |\ |\




-Determine the time of the last digoxin dose |\ |\ |\ |\ |\ |\ |\




-Check the client's urine output - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\



✔✔Review serum electrolyte values. |\ |\ |\

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