ATI Cardiovascular Assessment
Save
Terms in this set (28)
A nurse in an emergency D. Assisting with thrombolytic therapy
department is caring for a
client who had an anterior
myocardial infarction. The
client's history reveals she
is 1 week postoperative
following an open
cholecystectomy. The
nurse should recognize
that which of the following
interventions is
contraindicated?
A. Administering IV
morphine sulfate
B. Administering oxygen at
2 L/min via nasal cannula
C. Helping the client to
the bedside commode
D. Assisting with
thrombolytic therapy
,A nurse in an emergency C. Elevate the head of the client's bed
department is 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?
A. Initiate seizure
precautions
B. Tell the client to report
vision changes
C. Elevate the head of the
client's bed
D. Start a peripheral IV
A nurse in an emergency A. Confusion
room is assessing a client
who has a
bradydysrhythmia. Which
of the following findings
should the nurse monitor
for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
, A nurse is admitting a C. Inquire about the presence or absence of
client who has a leg ulcer claudication
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?
A. Explore the client's
family history of
peripheral vascular
disease
B. Note the presence or
absence of pain at the
ulcer site
C. Inquire about the
presence or absence of
claudication
D. Ask if the client has had
a recent infarction
Save
Terms in this set (28)
A nurse in an emergency D. Assisting with thrombolytic therapy
department is caring for a
client who had an anterior
myocardial infarction. The
client's history reveals she
is 1 week postoperative
following an open
cholecystectomy. The
nurse should recognize
that which of the following
interventions is
contraindicated?
A. Administering IV
morphine sulfate
B. Administering oxygen at
2 L/min via nasal cannula
C. Helping the client to
the bedside commode
D. Assisting with
thrombolytic therapy
,A nurse in an emergency C. Elevate the head of the client's bed
department is 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?
A. Initiate seizure
precautions
B. Tell the client to report
vision changes
C. Elevate the head of the
client's bed
D. Start a peripheral IV
A nurse in an emergency A. Confusion
room is assessing a client
who has a
bradydysrhythmia. Which
of the following findings
should the nurse monitor
for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
, A nurse is admitting a C. Inquire about the presence or absence of
client who has a leg ulcer claudication
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?
A. Explore the client's
family history of
peripheral vascular
disease
B. Note the presence or
absence of pain at the
ulcer site
C. Inquire about the
presence or absence of
claudication
D. Ask if the client has had
a recent infarction
