Question
501
A client with myocardial infarction suddenly develops ventricular fibrillation. What is the priority
intervention?
A.
Defibrillation
B. Oxygen by nasal
cannula C. Obtain
laboratory studies D.
Administer oral fluids
Answer:
A
Rationale: Ventricular fibrillation is a shockable rhythm requiring immediate
defibrillation.
Question
502
A client with left-sided heart failure is most likely to
exhibit:
A. Crackles and
dyspnea
B. Ascites
only
C. Hepatomegaly
only
D. Peripheral edema
only
Answer:
A
Rationale: Left-sided heart failure primarily causes pulmonary
congestion.
, Answer:
A
Rationale: Hyperglycemia is a serious complication
of TPN.
Question
503
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which assessment finding requires
immediate intervention?
A. Blood glucose 350
mg/dL B. Weight gain of
1 lb
C. Mild
fatigue
D. Dry
lips
501
A client with myocardial infarction suddenly develops ventricular fibrillation. What is the priority
intervention?
A.
Defibrillation
B. Oxygen by nasal
cannula C. Obtain
laboratory studies D.
Administer oral fluids
Answer:
A
Rationale: Ventricular fibrillation is a shockable rhythm requiring immediate
defibrillation.
Question
502
A client with left-sided heart failure is most likely to
exhibit:
A. Crackles and
dyspnea
B. Ascites
only
C. Hepatomegaly
only
D. Peripheral edema
only
Answer:
A
Rationale: Left-sided heart failure primarily causes pulmonary
congestion.
, Answer:
A
Rationale: Hyperglycemia is a serious complication
of TPN.
Question
503
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which assessment finding requires
immediate intervention?
A. Blood glucose 350
mg/dL B. Weight gain of
1 lb
C. Mild
fatigue
D. Dry
lips
