Exam 1: NUR2755/ NUR 2755 (New 2023 /
2024) Multidimensional Care IV |Questions
and Verified Answers| 100% Correct|
Graded A- Rasmussen
QUESTION
... [Show More]
The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing
chest pain. Which interventions should the nurse implement? Select all that apply.
1. Administer morphine intramuscularly.
2. Administer an aspirin orally.
3. Apply oxygen via a nasal cannula.
4. Place the client in a supine position.
5. Administer nitroglycerin subcutaneously.
Answer:
2. Administer an aspirin orally.
3. Apply oxygen via a nasal cannula.
#1 is incorrect because morphine is administered IV not IM
#5 Is incorrect because nitro is given sublingually, not subcutaneously
QUESTION
The client who has had a myocardial infarction is admitted to the telemetry unit from intensive
care. Which referral would be most appropriate for the client?
1. Social worker.
2. Physical therapy.
3. Cardiac rehabilitation.
4. Occupational therapy.
Answer:
3. Cardiac rehabilitation.
QUESTION
The client is one (1) day postoperative coronary artery bypass surgery. The client complains of
chest pain. Which intervention should the nurse implement first?
1. Medicate the client with intravenous morphine.
2. Assess the client's chest dressing and vital signs.
3. Encourage the client to turn from side to side.
4. Check the client's telemetry monitor.
Answer:
2. Assess the client's chest dressing and vital signs.
#4 is incorrect because a nurse should assess the patient first, not a machine
QUESTION
The client diagnosed with a myocardial infarction is six (6) hours post-right femoral
percutaneous transluminal coronary angioplasty (PTCA), also known as balloon surgery. Which
assessment data would require immediate intervention by the nurse?
1. The client is keeping the affected extremity straight.
2. The pressure dressing to the right femoral area is intact.
3. The client is complaining of numbness in the right foot.
4. The client's right pedal pulse is 3+ and bounding.
Answer:
3. The client is complaining of numbness in the right foot.
QUESTION
The intensive care department nurse is assessing the client who is 12 hours post-myocardial
infarction. The nurse assesses an S3 heart sound. Which intervention should the nurse
implement?
1. Notify the health-care provider immediately.
2. Elevate the head of the client's bed.
3. Document this as a normal and expected finding.
4. Administer morphine intravenously.
Answer:
1. Notify the health-care provider immediately.
Notifying the health care provider immediately is necessary because S3 indicates left ventricular
failure and is potentially life threatening
QUESTION
The nurse is administering a calcium channel blocker to the client diagnosed with a myocardi [Show Less]