Answers Rated A
Mr. Davis has taken the first dose of notify the provider of the allergy and Mr. Davis's
nitroglycerin. Which of the following actions report of itching. The provider can determine if
should be taken next? - - B. Mrs. Davis Mr. Davis is having a delayed allergic reaction to
should call 911 if her husband's chest pain is not the contrast dye used during cardiac
relieved within 5 minutes. catheterization. Nurse Carl should check the
client's skin for a rash and request a prescription
rationale: unresolved chest pain with the admin for diphenhydramine IV to decrease the itching.
of nitro can indicate MI, so call 911 if pain
continues and should also take another does of
nitro. for unresolved chest pain a total of 3 doses Nurse Carl is assessing Mr. Davis's breath
of nitro admin 5 min apart. should also take 325 sounds and suspects Mr. Davis is starting to
mg dose aspirin to inhibit platelet aggregation experience a moderate systemic reaction to the
which can reduce cardiac damage from the contrast dye used for the heart catheterization.
formation of a thrombus Which of the following breath sounds should the
nurse expect to hear during auscultation? -
- C. wheezing
Nurse Christine is reviewing Mr. Davis' ECG
strip, which was completed a t1725. which
pattern on the ECG strip is the priority finding? Nurse Carl has listened to Mr. Davis's breath
hotspot - - B. sounds and recognizes the manifestations of Mr.
Davis's condition. Nurse Carl should expect a
rationale: priority is ST-segment elevation, prescription for which of the following
possibly indicating a acute coronary even which medications? - - B. Epinephrine IV
is the greatest risk
rationale: to promote bronchodilation,
vasoconstriction, and maintenance of the BP and
Nurse Christine is preparing to initiate the HR
prescriptions for Mr. Davis. Which of the
following prescriptions should she expect to
initiate? (Select all that apply.) - - A. chest Nurse Carl is completing a post-heart
x-ray catheterization assessment of Mr. Davis. Which
B. troponin level of the following observations should Carl address
C. morphine first? - - A. a developing hematoma at the
E. potassium and creatinine levels puncture site
rationale: hematoma is indication the pt is having
Mr. Davis is reporting itching over his arms and active bleeding into groin tissue and requires
chest. What is the most appropriate action Nurse immediate action
Carl should take? - - The priority action
nurse Carl should take is to check Mr. Davis's
medical record for a shell fish allergy. Nurse Carl Mr. Davis's puncture site is covered with gauze
should recognize the possibility of an allergic and a transparent bandage. Nurse Carl is
reaction related to a shellfish allergy. Record the assessing Mr. Davis' puncture site for bleeding.
allergy to shellfish in the medical record and There is a 12.7-cm (5-in) area of blood on the
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