€ 7.49

ATI CARDIO EXAM 2020,

ATI CARDIO EXAM 2020

A nurse is caring for a client who has dilated cardiomyopathy. The client reports increasing difficulty completing her daily 1-mile walks. The nurse should recognize that this is a finding of which of the following?
a. Left ventricular failure
b. Peripheral vasodilation
c. Pericardial effusion
d. Decreased vascular volume
a. Activity intolerance is a finding of left ventricular failure and is associated with dilated cardiomyopathy.
A nurse is caring for a client who presents to the emergency department with a blood pressure of 254/139 mm Hg. The nurse recognizes that the client is in a hypertensive crisis. Which of the following actions should the nurse take first?
a. Obtain blood samples for laboratory testing
b. Tell the client to report vision changes
c. Place the head of the bed at 45 degrees
d. Initiate an IV
c. The first action the nurse should take when using the airway, breathing, circulation approach to client care is to place the head of the client’s bed at 45 degrees. This improves respiratory status and promotes venous return to reduce workload on the heart.
A nurse is assessing a client who has left-sided heart failure. Which of the following manifestations should the nurse expect to find?
a. Increased abdominal girth
b. Weak peripheral pulses
c. Jugular venous neck distention
d. Dependent edema
b. Weak peripheral pulses are related to decreased cardiac output resulting from left-sided heart failure.
A nurse is caring for a client in the first hour following an aortic aneurysm repair. Which of the following findings can indicate shock and should be reported to the provider?
a. Serosanguineous drainage on dressing
b. Severe pain with coughing
c. Urine output of 20 mL/hr
d. Increase in temperature from 36.8 degrees C (98.2 F) to 37.5 degrees C (99.5 F)
c. Urine output less than 30 mL/hr can indicate shock because it reflects decreased blood flow to the kidneys, possibly from graft rupture and hemorrhage.

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Subjects of Fundamentals Of Nursing - Chamberlain College Of Nursing

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