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A nurse is coordinating care for a client who has respiratory failure. Which of the following
health care team members might be included in the client's care? (Select All that Apply.)
Cardiologist
Pulmonologist
Neurologist
Respiratory therapist
Pharmacist - CORRECT ANSWER-All
,pt is taking warfarin daily. Which statements need for further teaching? - CORRECT
ANSWER-"I have started taking ginger root to treat my joint stiffness."
Ginger root can interfere with the blood clotting effect of warfarin and place the client at risk
for bleeding. This statement indicates the client needs further teaching.
Verapamil IV bolus for cardiac dysrhythmias. What AE? - CORRECT ANSWER-
hypotension
Verapamil, a calcium channel blocker, can be used to control supraventricular
tachyarrhythmias. It also decreases blood pressure and acts as a coronary vasodilator and
antianginal agent. A major adverse effect of verapamil is hypotension; therefore, blood
pressure and pulse must be monitored before and during parenteral administration.
A nurse is providing teaching to a client about recognizing manifestations of an
impending(임박한) cardiac arrest. Which of the following manifestations should the nurse
include in the teaching? - CORRECT ANSWER-Profound(엄청난) fatigue is a
manifestation of impending cardiac arrest. Therefore, the nurse should include this in the
teaching.
A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following
information:
Heart rate: 92/min
, Rhythm: Irregular
P wave: Unable to identify
PR interval: Unable to measure
QRS duration: 0.10 seconds - CORRECT ANSWER-A fib
Atrial fibrillation is indicated in ECG analysis by an irregular rhythm, the absence of identifiable
P waves, and the inability to measure PR interval.
A nurse is assessing a client who has suspected acute respiratory distress syndrome (ARDS). The
nurse should identify that which of the following is the most common presenting manifestation
of ARDS?
Dyspnea
Cyanosis
Diaphoresis
Somnolence - CORRECT ANSWER-Dyspnea that worsens within 6 to 72 hr of the inciting
event is the most common presenting manifestation of ARDS.
A nurse is teaching a group of clients about risk factors for developing atrial flutter. Which of
the following clients should the nurse understand is at highest risk for developing atrial flutter?
- CORRECT ANSWER-The pt who had a myocardial infarction and required stent
placement.