ATI Targeted Med Surg 2019: Cardiovascular Questions with correct answers

A nurse in an emergency department is assessing a client who has a bradydysrhythmia. Which of the following findings should the nurse monitor for? Correct Answer - Confusion Rationale: It can cause decreased systemic perfusion, which leads to confusion. ; will manifest hypotension and diaphoresis. A nurse in an emergency department is caring for a client who had an anterior MI. The client's history reveals they are 1 week post-op following an open cholecystectomy. The nurse should identify that which of the following interventions is CI? Correct Answer - Assisting with thrombolytic therapy Rationale: It is CI within 3 weeks after any major surgery. A nurse in an emergency department is caring for a client who has a BP 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? Correct Answer - Elevate the head of the client's bed Rationale: This helps to reduce BP and promote oxygenation. ; you will need to initiate seizure precautions, tell the client to report vision changes, and start a peripheral IV, although these are not the highest priority. A nurse is admitting a client who has a leg ulcer and a history of DM. Which of the following focused assessments should the nurse use to help differentiate between an arterial ulcer and venous stasis ulcer? Correct Answer - Inquire about the presence or absence of claudication