MED SURG ATI 2 cardiac | Already Passed!!

A nurse is assessing a client who has experienced a gunshot wound. Findings include blood pressure 108/55 mm Hg, heart rate 124/min, respiratory rate 36/min, temperature 38.6 (101.4), and a SaO2 95% on oxygen 30 minute later. Which of the following should the nurse report to the provider? (select all that apply) A. distended neck veins B. tracheal deviation C. headache D. nausea E. heart rate 154/min - A B E a nurse is reviewing discharge instructions for a client who experienced a pneumothroax. which of the following should be included in the teaching? A. notify your provider if you experience weakness B. you should be able to return to work in 1 week C. you need to wear a mast when in crowded areas. D. notify your provider if you experience a cough - D this is indicative of a respiratory infection a nurse in the emergency department is assessing a client with a suspected flail chest. which of the following clinical findings confirm this diagnosis? (select all that apply) A. bradycardia B. cyanosis C. hypotension D. dyspnea E. paradoxic chest movement - B CD E a nurse on a cardiac unit is caring for a group of clients. the nurse should recognize which of the following clients as being at risk for the development of a dysrhythmia? (select all that apply) A. a client who has metabolic alkalosis B. a client who has a serum potassium level of 4.3 C. a client who has a SaO2 of 96% D. a client who has COPD E. a client who underwent stent placement in a coronary artery - A D E