Med Surg 2 Exam 1 Questions And Answers | 2024 Latest Study Solutions

A 19 yo patient with rheumatic heart disease is admitted to the hospital with a recurrence of rheumatic fever. In planning care for the patient, which nursing diagnosis should the nurse include? A. Ineffective coping r/t refusal to carry out health promotion activities B. Risk for infection r/t recent exposure to group A beta-hemolytic streptococci C. Impaired adjustment r/t unsuccessful lifestyle modifications, goal setting, and problem solving D. Ineffective health management r/t lack of knowledge about long-term prophylactic antibiotic therapy - Answer-D. Ineffective health management r/t lack of knowledge about long-term prophylactic antibiotic therapy A multiple gated acquisition (MUGA) scan has been prescribed to a patient with cardiac problems to determine what? A. The patient's ejection fraction B. The presence of conduction disturbances C. The effectiveness of dilated cardiomyopathy D. The presence of infectious organisms in the heart tissue - Answer-A. The patient's ejection fraction A patient develops atrial flutter with a rapid ventricular response. The nurse anticipates that what treatment will be prescribed? A. Defibrillation B. ICD C. AED D. Synchronized cardioversion - Answer-D. Synchronized cardioversion A patient develops symptomatic sinus tachycardia. The nurse recognizes that which drug will likely be included in the patient's treatment plan? A. Atropine B. Dopamine C. Adenosine D. Epinephrine - Answer-C. AdenosineA patient experiences anginal pain. What is an appropriate nursing intervention? A. Place the patient in the recumbent position during the attack B. Encourage a salt-rich diet to prevent orthostatic hypotension C. Position the patient upright and administer oxygen D. Encourage the patient to do isometric exercises - Answer-C. Position the patient upright and administer oxygen A patient has a diagnosis of acute MI, and his cardiac rhythm is sinus bradycardia with 6-8 PVCs per minute. The pattern that the nurse recognizes as the most characteristic of PVCs is A. An irregular rhythm B. An inverted T wave C. A wide, distorted QRS complex D. An increasingly long PR interval - Answer-C. A wide, distorted QRS complex