MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
MED SURG 1
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?
Place the patch on an area of skin away from skin folds and joints
The client should apply the Patch to an area of intact skin that
has enough room for the Patch to fit smoothly. Rotating the
Patch site can prevent skin irritation. The client should have a
patch-free interval of 10 to 12 hours per day to prevent tolerance
to the medication. The nurse should emphasize that nitroglycerin
patches offer ongoing prevention of angina attacks. The patches
do not treat angina attacks because they do not take effect
immediately.
MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
,MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
A nurse in an emergency department s caring for a client
who has a blood pressure of 254/139 mm hg. the nurse
recognizes that the client is in a hypertensive crisis.
which of the following actions should the nurse take first?
elevate the head of the client's bed
The greatest risk to this client is organ injury due to severe
hypertension . Therefore, the first action the nurse should take is
to elevate the head of the client's bed to reduce blood pressure
and promote oxygenation. The nurse should initiate seizure
precautions because the client is at risk for seizures. However,
this is not the 1st action the nurse should take period the nurse
should tell the client to report vision changes because the client is
at risk for blurred vision. However, this is not the first action the
nurse should take. The nurse should initiate an ID to provide
access for medication administration to reduce the client's blood
pressure. However, this is not the first action the nurse should
take.
MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
, MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
A nurse in an emergency room is assessing a client who
has bradydysrhythmia. which of the following findings
should the nurse monitor for?
Confusion
Bradydysrhythmia can cause decreased systemic profusion,
which can lead to confusion. Therefore, the nurse should monitor
the client's mental status. The nurse should expect to hear a
friction rub during cardiac auscultation on a client who has
Carditis. The nurse should monitor a client who has a
Bradydysrhythmia for hypotension. The nurse should monitor a
client who has Bradydysrhythmia for diaphoresis.
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.
MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
LATEST UPPDATE 2021/2022
Cardiovascular
MED SURG 1
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?
Place the patch on an area of skin away from skin folds and joints
The client should apply the Patch to an area of intact skin that
has enough room for the Patch to fit smoothly. Rotating the
Patch site can prevent skin irritation. The client should have a
patch-free interval of 10 to 12 hours per day to prevent tolerance
to the medication. The nurse should emphasize that nitroglycerin
patches offer ongoing prevention of angina attacks. The patches
do not treat angina attacks because they do not take effect
immediately.
MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
,MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
A nurse in an emergency department s caring for a client
who has a blood pressure of 254/139 mm hg. the nurse
recognizes that the client is in a hypertensive crisis.
which of the following actions should the nurse take first?
elevate the head of the client's bed
The greatest risk to this client is organ injury due to severe
hypertension . Therefore, the first action the nurse should take is
to elevate the head of the client's bed to reduce blood pressure
and promote oxygenation. The nurse should initiate seizure
precautions because the client is at risk for seizures. However,
this is not the 1st action the nurse should take period the nurse
should tell the client to report vision changes because the client is
at risk for blurred vision. However, this is not the first action the
nurse should take. The nurse should initiate an ID to provide
access for medication administration to reduce the client's blood
pressure. However, this is not the first action the nurse should
take.
MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
, MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
A nurse in an emergency room is assessing a client who
has bradydysrhythmia. which of the following findings
should the nurse monitor for?
Confusion
Bradydysrhythmia can cause decreased systemic profusion,
which can lead to confusion. Therefore, the nurse should monitor
the client's mental status. The nurse should expect to hear a
friction rub during cardiac auscultation on a client who has
Carditis. The nurse should monitor a client who has a
Bradydysrhythmia for hypotension. The nurse should monitor a
client who has Bradydysrhythmia for diaphoresis.
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.
MED SURG1 ATI Targeted Medical-Surgical
LATEST UPPDATE 2021/2022
Cardiovascular
