ATI MED SURG LATEST VERSIONS NEWEST 2024
ACTUAL EXAM 500 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES(VERIFIED ANSWERS)|ALREADY
GRADED A+
A nurse is caring for client who is experiencing supraventricular tachycardi
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a. Upon assessing the client, the nurse observes the following findings: hear
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t rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. W
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hich of the following actions should then nurse take?
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a. Defibrillate the client's heart.
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b. Perform synchronized cardioversion.
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c. Begin cardiopulmonary resuscitation.
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d. Administer lidocaine IV bolus. -
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answerb. Perform synchronized cardioversion.
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The nurse should perform synchronized cardioversion for a client who has s
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upraventricular tachycardia. j
What rhythms are shockable? (defibrillation) -
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answerventricular fibrillation and pulseless ventricular tachycarida
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What dysrhythmia are amiodarone and lidocaine indicated for? -
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answerventricular arrhythmias
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The nurse should initiate CPR for a client who what? -
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answeris pulseless or not breathing
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A nurse is preparing a client who has supraventricular tachycardia for elect
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ive cardioversion. Which of the following medications should the nurse instr
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uct the client to withhold for 48 hr prior to cardioversion?
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A. Enoxaparin
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B. Metformin
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C. Diazepam
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D. Digoxin - answerD. digoxin
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Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. The
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se medications can increase ventricular irritability and put the client at risk
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for ventricular fibrillation after the synchronized countershock of cardiover
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sion
_______ are usually given prior to cardioversion to reduce anxiety and mini
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mize discomfort with the procedure. - answerSedatives like diazepam
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Metformin is held before what kind of procedures? Example? Why? -
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answerOnes that involve contrast dye like cardiac catheterization, in order
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to prevent kidney damage.
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__________ prevent blood clots that can be released into the circulatory syste
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m after cardioversion. - answerAnticoagulants like enoxaparin
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