Practice Question
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Answer Choices:
Correct Answer:
Metformin
Rationale:
Metformin + contrast dye can cause lactic acidosis and kidney damage, especially in patients with renal impairment. It should be held for 48 hours before and after the procedure if kidney function is impaired.
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This question is from RN ATI Advanced MedSurg Exam 3 which contains 58 questions.
More Questions from This Exam
A nurse is caring for a 73-year-old client in the emergency department (ED)
Answer Choices:
A. Insert a nasogastric (NG) tube.
Type and cross-match for 2 units of packed RBCs.
Administer broad-spectrum antibiotics.
Measure lactate level.
Rapidly administer 30 ml/kg of normal saline.
Obtain blood cultures.
Obtain a urine specimen.
Obtain a wound culture.
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?
Answer Choices:
A. First-degree AV block
B. Sinus tachycardia
C. Atrial fibrillation
D. Sinus bradycardia
Norepinephrine has been prescribed for a patient who was admitted with dehydration and hypotension. Which data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
Answer Choices:
A. The patient's central venous pressure is 3 mm Hgw
B. The patient is receiving low dose dopamine.
C. The patient is in sinus tachycardia at 120 beats/min.
D. The patient has had no urine output since admission.
Mr Jones came to the ER complaining of chest palpitations. He states his heart feels like it is "racing". The nurse found the following rhythm on the monitor. What is the next step would the nurse expect to take first?
Answer Choices:
A. Defibrillate
B. Ask him to blow into a syringe
C. Draw troponins
D. Give amiodarone
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing circulatory overload?
Answer Choices:
A. Flushing
B. Vomiting
C. Dyspnea
D. Bradycardia
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4
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