Practice Question
After receiving shift change report, which of the following patients should the nurse see first?
Answer Choices:
Correct Answer:
Patient with infecting endocarditis having new onset flank pain and hematuria
Rationale:
- A client with infective endocarditis who suddenly develops flank pain and hematuria is exhibiting signs of systemic embolization, which can be life-threatening.
- Vegetations from infected heart valves may embolize and lodge in the renal arteries, resulting in renal infarction.
- This complication requires immediate assessment and intervention due to the risk of renal failure and systemic sepsis.
- Compared to other patients listed, this client presents the most acute change in condition, and prioritization of care is based on new onset, potentially life-threatening symptoms.
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This question is from RN Medsurg Nur46 Exam which contains 28 questions.
More Questions from This Exam
A nurse is teaching several newly licensed nurses about cardiac valve replacement. Which of the following should the nurse include in the teaching?
Answer Choices:
A. The aortic and mitral valves are the most commonly replaced valves.
B. Aortic stenosis increases right ventricular systolic pressure and decreases afterload.
C. Mitral valve insufficiency leads to increased pressure on the right ventricle.
D. Inadequate closure of the tricuspid valve causes overload in the left ventricle.
A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.)
Answer Choices:
A. Resume activities that can cause jolting, such as horseback riding, after 4 weeks.
B. Request to be scanned with a handheld metal detector when in the airport
C. Do not have a microwave oven in the home
D. Report hiccups to the provider
E. Do not wear tight clothing over the insertion area
F. Count your pulse for 1 min each morning.
Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?
Answer Choices:
A. Teach community members to seek medical treatment for streptococcal pharyngitis.
B. Teach about prophylactic antibiotics to those with family history of rheumatic fever.
C. Vaccinate high-risk groups in the community with streptococcal vaccine.
D. Teach about the importance of monitoring temperature when sore throats occur.
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Answer Choices:
A. Electrocardiogram (ECG)
B. Echocardiogram
C. Computed tomography (CT) scan
D. Chest x-ray
A patient has been diagnosed with Group A Streptococcal pharyngitis. The nurse recognizes the need for antibiotic therapy to help prevent the development of which serious condition
Answer Choices:
A. Rheumatoid arthritis,
B. Nausea and vomiting
C. Rheumatic fever
D. Fatigue and malaise
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4