Question

Which action would the nurse take first for a patient with a tracheostomy who appears anxious and is having difficulty coughing up thick respiratory secretion?

Answer 1

Correct Answers:

Suction the tracheostomy.

Rationale :

When a patient with a tracheostomy has difficulty coughing up thick secretions, the priority intervention is to suction the airway. This prevents airway obstruction and improves oxygenation

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Answer 2

Correct Answers:

Moon face
Purple striations
Hypertension
Buffalo hump

Rationale :

Cushing’s syndrome results from excess cortisol, leading to characteristic features such as moon face, purple striations, hypertension, and a buffalo hump.

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Answer 3

Correct Answers:

Infection

Rationale :

Surgery is postponed if an infection is present because it increases the risk of complications, including poor wound healing and implant failure.

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Answer 4

Correct Answers:

Regular insulin

Rationale :

Regular insulin is the only type of insulin that can be given intravenously, making it the preferred treatment for diabetic ketoacidosis (DKA). Long-acting insulins like glargine and detemir are not suitable for rapid glucose control.

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Answer 5

Correct Answers:

Atrial depolarization

Rationale :

The P wave represents electrical conduction through the atria, leading to atrial contraction. It is the first wave in a normal ECG and is essential for proper heart function.

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Answer 6

Correct Answers:

Initiate oxygen therapy.

Rationale :

Myocardial infarction (MI) reduces oxygen supply to heart tissues, leading to ischemia. Providing oxygen increases myocardial oxygenation and reduces cardiac workload, preventing further damage.

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Answer 7

Correct Answers:

Bile stasis

Rationale :

Biliary sludge forms when bile remains stagnant in the gallbladder, leading to thickening and an increased risk of gallstone formation. It is common in patients with prolonged fasting or gallbladder dysfunction.

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Answer 8

Correct Answers:

Troponin

Rationale :

Troponin is a heart muscle protein released into the bloodstream after myocardial injury. It is the most specific and sensitive marker for diagnosing myocardial infarction.

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Answer 9

Correct Answers:

Have the client lie flat in bed.

Rationale :

After a cardiac catheterization, the client must remain flat to prevent bleeding at the insertion site. Raising the head of the bed or flexing the leg can increase the risk of hematoma formation.

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Answer 10

Correct Answers:

Increasing edema

Rationale :

Worsening edema indicates impaired venous return and potential compartment syndrome. Swelling restricts circulation and can cause tissue damage if left untreated.

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RN ATI Medsurg N269 Comphrensive Exam

No.

1 : Which action would the nurse take first for a patient with a tracheostomy who appears anxious and is having difficulty coughing up thick respiratory secretion?

2 : A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize which of the following are manifestations of Cushing's syndrome? (Select all that apply.)

3 : A patient with osteoarthritis is scheduled for a total knee arthroplasty. The nurse identifies that the surgery will be postponed if the patient experiences which condition?

5 : A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?

6 : A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following doctor's orders should the nurse take first?

7 : Which condition causes the formation of biliary sludge?

8 : A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?

9 : A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take?

10 : A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client's affected arm?

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