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NGN-RN Complete Package (S3)

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The nurse is caring for a client who is showing symptoms of heart failure following a myocardial infarction (MI). The client does not understand how their heart attack has caused their heart to fail. 

 Which of the following responses is the most appropriate?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client with a newly diagnosed deep vein thrombosis (DVT). The physician has ordered heparin IV at a rate of 0.3 units/kg/min. The client is 250 lbs. The pharmacy sends 25,000 units of heparin in a 500 mL bag of D5W.

 What rate (mL/hr) should the nurse set the IV pump at? Record your answer to one decimal place.

25,000 units of heparin in a 500 mL bag of D5W

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client on thrombolytic therapy following an acute myocardial infarction (MI).

 Follow-up from the nurse is required if the student nurse states that priority actions and assessments when monitoring for complications include:

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is examining one of their client's Electrocardiogram (ECG) strips. The nurse notices a repetitive sawtooth pattern and a variable P wave (PR) interval.

 Which of the following dysrhythmias should the nurse suspect?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is reviewing the chart of a client with cardiomyopathy. The nurse notices a history of aortic stenosis, hypertension, and a family history of cardiomyopathy. 

 Based on this information, which type of cardiomyopathy does the nurse suspect the client has?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse asks a student nurse to explain their knowledge of digoxin before administering it to a client with mitral stenosis. 

 Which statement made by the student nurse indicates a need for further teaching?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client experiencing decreased cardiac output (CO) in response to a cardiac dysrhythmia

 Follow-up is required if the nurse identifies that clinical manifestations of decreased CO include: 

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is working with an unlicensed assistive personnel (UAP) to care for a client who is about to undergo percutaneous coronary intervention (PCI).

 Which of the following interventions assigned to the UAP would require follow-up?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client who has been treated with an antidysrhythmic drug. The client was on cardiac monitoring, but the monitor has malfunctioned.

 Which of the following parameters is it most important for the nurse to monitor?

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is caring for a client who has developed sinus bradycardia. 

 Which of the following medications should the nurse anticipate the physician prescribing?

Ramanpreet Kaur Sidhu

ID: 137304
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