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Med Surge two > quiz 4 > Flashcards

quiz 4 Flashcards

1
Q

1.A nursing instructor is teaching the class about Addison’s disease. The instructor determines that the class understands the disease process if they indicate which are affected in this disease?

A. Check the clinet’s blood pressure
B. Auscultate heart tones
C. Perform a 12-lead-ECG
D. Determine if pain radiates to the left arm

A

C. Perform a 12-lead-ECG

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2
Q

2.A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose?

A

5 ml

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3
Q
  1. A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
    a. Apical pulse rate is different than the radial pulse rate
    b. Decrease in systolic pressure by more than 10 mm Hg during inspiration
    c. Increase in heart rate by 20% when moving from sitting to standing
    d. Drop in systolic BP by 20 mm Hg when changing positions
A

b. Decrease in systolic pressure by more than 10 mm Hg during inspiration

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4
Q
  1. A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate (Kayexalate). If this medication is effective, the nurse should expect which of the following corrections on the client’s ECG?
    a. Reduction of T-wave amplitude
    b. shortening of P-wave duration
    c. widening of the QRS complex
    d. restoration of QRS complex amplitude
A

a. Reduction of T-wave amplitude

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5
Q

5.A nurse is caring for a client who has had a myocardial infarction. Upon his first visit to cardiac rehabilitation, he tells the nurse that he doesn’t understand why he needs to be there because there is nothing more to do, as the dmagae is done. Which of the following is the correct nursing response?
A. Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely.
B.It’s not unusual to feel that way at first, but once you learn the routine, you’ll enjoy it.
c. Exercise is good for you and good for your heart.
d. Your doctor is the expert here, and I’m sure he would only recommend what is best for you

A

A. Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely.

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6
Q
  1. a nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?
    A. these tests help determine the degree of damage to the heart tissues
    B. Cardiac enzymes will identify the location of the MI
    c. These tests will enable the provider to determine the heart structure and mobility of the heart valaves.
    D.Cardiac enzymes assist in diagnosing the presence of pulmonary congestion
A

A. these tests help determine the degree of damage to the heart tissues

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7
Q
  1. A nurse is assessing a client’s radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?
    A.assess the apical pulse for a full minute
    B. Assess the apical pulse with a Doppler device
    C.Assess the pedal pulses for a full minute
    D.assess the pedal pulses with a Doppler device
A

A.assess the apical pulse for a full minute

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8
Q
  1. A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation. Which of the following actions should the nurse take? (Select all that apply)
    A. Keep the client npo after midnight
    B. Inspect the electrode pads
    C.Wash the skin with plain water before placing the electrodes.
    D.Instruct the client not talk during the test
    E. Administer an analgesic prior to the procedure
A

B. Inspect the electrode pads

D.Instruct the client not talk during the test

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9
Q
  1. A nurse is providing teaching for a client who has a new diagnosis of angina pectoris. The nruse should give the client which of the following information about anginal pain?
    A. the pain usually last longer than 20 min
    b. the pain often radiates to the jaw or the back.
    c. the pain persists with the rest organic nitrates
    D. extertion and anxiety can trigger the pain
A

D. extertion and anxiety can trigger the pain

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10
Q
  1. A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider.
    A. Movement of the trachea toward the unaffected side.
    b. bubbling of the water in the water seal chamber with exhalation
    c. crepitus in the area above and surrounding the insertion site.
    d. Eyelets are not visible
A

A. Movement of the trachea toward the unaffected side.

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11
Q 
11. A nurse is assessing a 3-year-old-child who has aortic stenosis. Which of the following findinds should the nurse expect ?( select all that apply)
A. hypotension
b. bradycardia
c. clubbing of the nail beds.
d. weak pulses
e. murmur
A

A. hypotension

d. weak pulses
e. murmur

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12
Q
  1. A nurse is assessing a client who has infective endocarditis. Which of the following findings should be the priority for the nurse to report to the provider.
    a. splinter hermorrhages to the nails
    b. dyspnea
    c. fever
    d. clusters of petechiae in the mouth
A

b. dyspnea

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13
Q
  1. a nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
    a. excessive thrombosis and bleeding
    b. progressive increase in platelet production
    c. immediate sodium and fluid retention
    d. increased clotting factors
A

a. excessive thrombosis and bleeding

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14
Q
  1. A nurse is teaching a client who has angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?
    a.Take this medication after each meal and at bedtime.
    B. Take one tablet every 15 min during an acute attack
    C. Take one tablet at the first indication of chest pain
    D. Take this medication with 8 ounces of water
A

C. Take one tablet at the first indication of chest pain

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15
Q
  1. A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.
    a. Orthopnea
    b. Headache
    c. Nausea
    d. Tachycardia
    e. Diaphoresis
A

c. Nausea
d. Tachycardia
e. Diaphoresis

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16
Q
  1. A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)
    a. Troponin I
    B. Troponin T
    C. Plasma low-density lipoproteins (LDL)
    D. CPK
    E.Myoglobin
A

a. Troponin I
B. Troponin T
D. CPK
E.Myoglobin

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17
Q 
18. A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity? 
A. Anorexia
B. Ataxia
C. Photosensitivity
D. Jaundice
A

A. Anorexia

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18
Q
  1. The nurse in trauma unit has received report on a client who has multiple injuries following motor vehicle crash. Which of the following actions should the nurse plan to take first?
    a. Evaluate chest expansion .
    b. Check pupillary response to light
    c. Assess the capillary refill.
    d. Check client’s response to questions about place and time.
A

a. Evaluate chest expansion

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19
Q
  1. A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?
    a. First- degree AV block
    b. Atrial fibrillation
    c. Sinus bradycardia
    d. Sinus tachycardia
A

b. Atrial fibrillation

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20
Q
  1. A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include?
    A. “Limit your fluid intake to meal times.
    B. “Do not take this medication on an empty stomach.”
    C. “ Increase your daily intake of dietary fiber.
    D. You can expect swelling of the ankles while taking this medication.
A

C. “ Increase your daily intake of dietary fiber.

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21
Q
  1. A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse’s priority?
    a. Blood pressure 92/50 mm Hg
    b. Heart rate 72 / min
    c. Abdominal pain rated 4 on a scale of 0 to 10
    d. Respiratory rate 20 / min
A

a. Blood pressure 92/50 mm Hg

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22
Q
  1. The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate? A. a.Brachial pulse in the left arm
    b. Brachial pulse in the right arm
    c. Radial pulse in the left arm
    d. Radial pulse in the right arm
A

C. Radial pulse in the left arm

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23
Q
  1. A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction Which of the following prescriptions should the nurse take first?
    a. Attach the leads for a 12- lead ECG.
    b. Obtain a blood sample.
    c. Initiate oxygen therapy
A

C. . Initiate oxygen therapy

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24
Q
  1. A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following actions should the nurse take after noticing a rise in the water seal chamber with client inspiration ?
    a. Continue to monitor the client
    b. Immediately notify the provider.
    c. Reposition the client toward the left side.
    d. Clamp the chest tube near the water seal
A

a. Continue to monitor the client

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25
Q 
26. A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take?
A. Increase the client's wall suction
B. Strip the client's chest tube
C. Clamp the client's chest tube
D. Reposition the client
A

D. Reposition the client

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26
Q
  1. A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding Which of the following actions should the nurse take?
    A. Ambulate the client four times per day
    B. Encourage the client to consume clear liquids
    C. Provide frequent oral and nares care
    D. Keep the client in a supine position.
A

C. Provide frequent oral and nares care

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27
Q
  1. A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hga weak pulse rate of 118/min, and a respiratory rate of 40 / m * i * n . Which of the following actions should the nurse take?
    A. Raise the foot of the bed to a 90angle.
    B. Remove the dressing to inspect the wound.
    C. Prepare to insert a central line
    D. Administer oxygen via nasal cannula
A

D. Administer oxygen via nasal cannula

28
Q 
29. A nurse in an emergency department is preparing to care for a client who is being brought in with multiple system trauma following a motor vehicle crash Which of the following should the nurse identify as the priority focus of care?
A. Airway protection
B. Decreasing intracranial pressure
C. Stabilizing cardiac arrhythmias
D. Preventing musculoskeletal disability
A

A. Airway protection

29
Q
  1. A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?
    A. Assign an assistive personnel to feed the client
    B. Explain to the client that her tray is here and place her hands on it
    C. Describe to the client the location of the food on the tray
    D. Ask the client if she would prefer a liquid diet
A

C. Describe to the client the location of the food on the tray

30
Q
  1. A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 ml of blood. Which of the following actions is the nurse’s priority?
    A. Elevate the client’s feet.
    B. Increase the client’s fluid rate.
    C. Initiate a dopamine IV infusion for the client.
    D. Administer a unit of packed RBCs
A

B. Increase the client’s fluid rate.

31
Q
  1. A nurse on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the client states that his chest pain is now a severity of 2. Which of the following actions should the nurse take?
    A. Administer another nitroglycerin tablet.
    B. Initiate a peripheral .
    C. Call the Rapid ResponseTeam
    D. Obtain an ECG.
A

A. Administer another nitroglycerin tablet

32
Q
  1. A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching ?
    A. Apply a new transdermal patch once a week .
    B. Apply the transdermal patch in the morning
    C. Apply the transdermal patch in the same location as the previous patch
    D. Apply a new transdermal patch when chest pain is experienced .
A

B. Apply the transdermal patch in the morning

33
Q 
34. A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?
A.I am gaining weight .
B." am constipated.
C." My vision seems yellow.
D." My tongue is red and beefy.
A

C.” My vision seems yellow.

34
Q
  1. A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?
    A. Different blood pressures in the upper limbs.
    B. Different apical and radial pulses.
    C. Differences between oral and axillary temperatures.
    D. Differences in upper and lower lung sounds.
A

B. Different apical and radial pulses.

35
Q 
36. A nurse is assessing a client who is receiving dopamine to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
A. Systolic blood pressure is increased
B. Cardiac output is reduced
C. Apical heart rate is increased
D. Urine output is reduced
A

A. Systolic blood pressure is increased

36
Q

37.A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?
A. Troponin is an enzyme that indicates damage to brain, heart, and skeletal muscle tissues .
B. Troponin is a lipid whose levels reflect the risk for coronary artery disease
C .Troponin a heart muscle protein that appears in the bloodstream when there is damage to the heart
D. Troponin is a protein that helps transport oxygen throughout the body

A

C .Troponin a heart muscle protein that appears in the bloodstream when there is damage to the heart

37
Q 
38. A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is  5.2. Which of the following medications should the nurse prepare to administer?
 A. Epinephrine
B. Atropine
C. Protamine
D. Vitamin K
A

D. Vitamin K

38
Q
  1. A nurse is caring for client who has bleeding esophageal varices and is being treated with a Sengstaken-Blakemore tube. Which of the following actions should the nurse perform?
    A. Deflate the balloons for min every 2 hr to prevent tissue necrosis
    B. Maintain constant observation while the balloons are inflated
    C. Suction the tube every 2 hr and as needed to maintain patency
    D. Keep the head of the bed flat at all times to prevent the development of shock
A

B. Maintain constant observation while the balloons are inflated

39
Q
  1. A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
    A. Apply a tourniquet just below the elbow.
    B. Apply direct pressure over the wound.
    C. Clean the wound.
    D. Elevate the limb and apply ice.
A

B. Apply direct pressure over the wound.

40
Q
  1. A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
    A. Morphine sulfate 2mg IV bolus every 2 hr PRN PAIN
    B. Laboratory testing of serum potassium upon admission
    C. 0.9% normal saline IV at 50 Ml/hr continuous
    D. Bumetanide 1 mg IV bolus every 12 hr
A

C. 0.9% normal saline IV at 50 Ml/hr continuous

41
Q
  1. A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take?
    A. Clamp the chest tube prior to transferring the client to a wheelchair
    B. Disconnect the chest tube from the drainage system during transport
    C. Keep the drainage system below the level of the client’s chest at all times
    D. Empty the collection chamber prior to transport
A

C. Keep the drainage system below the level of the client’s chest at all times

42
Q
  1. A nurse is providing teaching to a client who has angina pectoris and a prescription for nitroglycerin sublingual tablets Which of the following statements the client indicates an understanding of the teaching?
    A. dial 911 still have pain after taking 3 nitroglycerin tablets 5 minutes apart
    B. dial 911 if still have pain after taking 4 nitroglycerin tablets over a 20- minute period
    C. 911 when have pain and then take the nitroglycerin tablets
    D. dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting.
A

D. dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting.

43
Q
  1. A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC)Which of the following statements should the nurse make?
    A. DIC is controllable with lifelong heparin usage.
    B. “ DIC is characterized by an elevated platelet count
    C. DIC is caused by abnormal coagulation involving fibrinogen.”
    D. DIC is a genetic disorder involving a vitamin K deficiency .
A

C. DIC is caused by abnormal coagulation involving fibrinogen.”

44
Q
  1. A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client?
    A. Short peripheral catheter
    B. Implanted infusion port
    C. Peripherally inserted central catheter
    D. Arteriovenous fistula
A

C. Peripherally inserted central catheter

45
Q 
47. A nurse is assessing a client who sustained a basal skull fracture and notes a thin stream of clear drainage coming from the client's right nostril Which of the following actions should the nurse take first?
A. Test the drainage for glucose.
B. Suction the nostril
C. Notify the physician .
D. ask the client to blow his nose .
A

A. Test the drainage for glucose.

46
Q

49 A nurse enters a client’s room and finds him unresponsive. After notifying the rapid response team, which of the following actions should the nurse take first?
A. Attach defibrillator pads to the client.
B. Check for a carotid pulse .
C. Begin chest compressions
D. Deliver two breaths

A

B. Check for a carotid pulse .

47
Q
  1. A nurse providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and receiving oploid medications to manage discomfort Aside from managing pain, which of the following desired effects of medications should the nurse identify as most important for the client’s recovery?
    A. decreases the level of anxiety.
    B. facilitates the client’s deep breathing
    C. It enhances the client’s ability to sleep .
    D. reduces the client’s blood pressure
A

B. facilitates the client’s deep breathing

48
Q 
51. A nurse in the emergency department is caring for a client who was injured in a motor vehicle crash. The client reports dyspnea and severe pain. The nurse notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?
A. Atelectasis
B. Flail chest
C. Hemothorax
D. Pneumothorax
A

B. Flail chest

49
Q 
52. A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?
A. Hemoglobin (Hgb)
B. Prothrombin time (PT)
C. Bleeding time Activated
D. partial thromboplastin time aPTT)
A

B. Prothrombin time (PT)

50
Q

53,A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride 40 mg twice daily Which of the following findings in the history should the nurse report to the provider?
A. The client has a history of hypothyroidism
B. The client has a history of bronchial asthma
C. The client has a history of hypertension.
D. The client has a history of migraine headaches

A

B. The client has a history of bronchial asthma

51
Q 
54.A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety?
A. Nitroglycerin
B. Aspirin
C. Oxygen
D. Morphine
A

D. Morphine

52
Q 
55. A nurse on a telemetry unit is caring for a client who has premature ventricular contractions (). While sitting in a chair, the client feeling reports feeling lightheaded. If the client is having PVCs, which of the following findings should the nurse expect when auscultating the client's apical pulse?
A. Bounding pulsations
B. Irregular pulsations
C. Tachycardia
D. Bradycardia
A

B. Irregular pulsations

53
Q 
56. A nurse in the emergency department is assessing a newly admitted client who has facial trauma. Which of the following assessments is the nurse's priority?
A. Soft-tissue edema
B. Facial asymmetry
 C. Active bleeding
D. Altered respirations
A

D. Altered respirations

54
Q
  1. A nurse enters a client’s room and finds the client pulseless. The family has requested a do-not-resuscitate (DNR) order from the provider, but he has not written the order yet Which of the following actions should the nurse take?
    A. Call the emergency response team
    B. Seek immediate help from the risk manager.
    C. Call the provider for a stat DNR order .
    D. Respect the family’s wishes and do nothing
A

A. Call the emergency response team

55
Q 
59. A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?
A. Urinary output 25mL / hr
B. Difficulty swallowing
C. Heart rate 122 / m i n
D. Pain of 6 on a scale of 0 to 10
A

B. Difficulty swallowing

56
Q
  1. A nurse is caring for a client who has hypertension and develops epistaxis. Which of the following actions should the nurse take? (Select all that apply.)
    A. Apply pressure to the nares.
    B. Place ice to the bridge of the client’s nose.
    C. Instruct the client to blow his nose
    D. Tilt the client’s head backward
    E. Move the client into high -Fowler’s position .
A

A. Apply pressure to the nares.
B. Place ice to the bridge of the client’s nose.
E. Move the client into high -Fowler’s position .

57
Q
  1. A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
    A.” A headache is an indication of an allergy to the medication.
    B. “ A headache is an expected adverse effect of the medication .
    C. “ A headache indicates tolerance to the medication .
    D. A headache is likely due to the anxiety about the chest pain.
A

B. “ A headache is an expected adverse effect of the medication .

58
Q 
62. A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his lips are cyanotic. The nurse should anticipate which of the findings as an indication of hypovolemic shock?
 A. Increased heart rate
 B. Widening pulse pressure
 C. Increased deep tendon reflexes
 D. Pulse oximetry 96%
A

A. Increased heart rate

59
Q 
63. A nurse is performing cardiopulmonary resuscitation (CPR) for an adult client who is unresponsive. The nurse should evaluate the client's circulation by palpating which of the following pulses ?
A. Radial
b.  Popliteal
c. Carotid
d.  Apical
A

c. Carotid

60
Q
  1. A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?
    A. To convert atrial fibrillation to sinus rhythm
    B. To dissolve clots in the bloodstream
    C. To slow the response of the ventricles to the fast atrial impulses
    D. To reduce the risk of stroke in clients who have atrial fibrillation
A

D. To reduce the risk of stroke in clients who have atrial fibrillation

61
Q 
65. A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine at 2 mg/mln . When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?
A. Prevents dysrhythmias
B. Slows intestinal motility
C. Dissolves blood clots
D. Relieves pain
A

A. Prevents dysrhythmias

62
Q
  1. A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse’s priority?
    A. The client’s ECG tracing shows irregular heart rate without waves .
    B. The client has an aPTT of 80 seconds.
    C. The client experiences sudden weakness of one arm and leg.
    D. The urine is cloudy and odorous
A

C. The client experiences sudden weakness of one arm and leg.

63
Q 
67. A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
A. Epinephrine
B. Magnesium
C. Atropine
D. Sodium bicarbonate
A

C. Atropine

64
Q 
68. A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
A. Slow
B. Not palpable
C. Irregular
D. Bounding
A

C. Irregular

65
Q 
69. A nurse is preparing to administer verapamil by bolus to a client who is having cardiac dysrhythmias For which of the following adverse effects should the nurse monitor when giving this medication?
 A. Hyperthermia
B. Hypotension
C. Ototoxicity
D. Muscle pain
A

B. Hypotension

66
Q 
70. Nurse in an emergency department is caring for a client who is experiencing manifestations of a myocardial infarction. Which of the following laboratory tests should the nurse expect the provider to prescribe?
A.troponin
B. creatinine kinase
C. BNP
D. C-reactive protein
A

A.troponin

67
Q 
71. A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion ?
A.Sudden lethargy
B.Muffled heart sounds
C.  Flattened neck veins
D. Bradycardia
A

B.Muffled heart sounds

Med Surge two (15 decks)

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