ATI real life RN : MI complications

ATI real life RN : MI complications 1. Mr. Davis has taken the first dose of nitroglycerin. Which of the following actions should be taken next?: B. Mrs. Davis should call 911 if her husband's chest pain is not relieved within 5 minutes. rationale: unresolved chest pain with the admin of nitro can indicate MI, so call 911 if pain continues and should also take another does of nitro. for unresolved chest pain a total of 3 doses of nitro admin 5 min apart. should also take 325 mg dose aspirin to inhibit platelet aggregation which can reduce cardiac damage from the formation of a thrombus 2. Nurse Christine is reviewing Mr. Davis' ECG strip, which was completed a t1725. which pattern on the ECG strip is the priority finding? hotspot: B. rationale: priority is ST-segment elevation, possibly indicating a acute coronary even which is the greatest risk 3. Nurse Christine is preparing to initiate the prescriptions for Mr. Davis. Which of the following prescriptions should she expect to initiate? (Select all that apply.): A. chest x-ray B. troponin level C. morphine E. potassium and creatinine levels 4. Mr. Davis is reporting itching over his arms and chest. What is the most appropriate action Nurse Carl should take?: The priority action nurse Carl should take is to check Mr. Davis's medical record for a shell fish allergy. Nurse Carl should recognize the possibility of an allergic reaction related to a shellfish allergy. Record the allergy to shellfish in the medical record and notify the provider of the allergy and Mr. Davis's report of itching. The provider can determine if Mr. Davis is having a delayed allergic reaction to the contrast dye used during cardiac catheterization. Nurse Carl should check the client's skin for a rash and request a prescription for diphenhydramine IV to decrease the itching. 5. Nurse Carl is assessing Mr. Davis's breath sounds and suspects Mr. Davis is starting to experience a moderate systemic reaction to the contrast dye used for the heart catheterization. Which of the following breath sounds should the nurse expect to hear during auscultation?: C. wheezing 6. Nurse Carl has listened to Mr. Davis's breath sounds and recognizes the manifestations of Mr. Davis's condition. Nurse Carl should expect a prescription for which of the following medications?: B. Epinephrine IV rationale: to promote bronchodilation, vasoconstriction, and maintenance of the BP and HR 7. Nurse Carl is completing a post-heart catheterization assessment of Mr. Davis. Which of the following observations should Carl address first?: A. a developing hematoma at the puncture site rationale: hematoma is indication the pt is having active bleeding into groin tissue and requires immediate action 8. Mr. Davis's puncture site is covered with gauze and a transparent bandage. Nurse Carl is assessing Mr. Davis' puncture site for bleeding. There is a 12.7-cm (5-in) area of blood on the bedsheet under Mr. Davis' right hip and a 7.62-cm (3-in) groin hematoma. The puncture site has continual oozing from underneath the transparent bandage, and the gauze is saturated with bright red blood. Which of the following actions should Nurse Carl take?: D. apply pressure to the right groin site 9. Nurse Carl is reviewing Mr. Davis's laboratory results in the electronic medical records (EMRs). Which of the laboratory results should nurse Carl report immediately to the provider?: D. potassium rationale: blew reference range of 3.5-5.5 mEq/L 10. Nurse Carl has information to provide to Mr. Davis about modifiable risk factors for coronary artery disease. Which of the following risk factors should he include in the teaching?: C. obesity 11. Nurse Carl is assessing Mr. Davis with the charge nurse and suspects manifestations of cardiogenic shock. Which of the following findings should Carl identify as manifestations of cardiogenic shock? (Select all that apply.)- : A. mean arterial pressure of 54 mm Hg B. agitation and restlessness D. Arterial blood pressure of 88/54 mm Hg 12. Nurse Carl is preparing to administer dobutamine 2.5 mcg/kg/min by continuous IV infusion to Mr. Davis who weighs 110 kg (242 lb). Available is dobutamine 250 mg in 250 mL of dextrose 5% in water. Carl should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.): 16.5 mL/hr 13. Nurse Carl continues to monitor Mr. Davis, who remains unstable with a systolic blood pressure less than 90 mm Hg even with a dobutamine drip infusing. Which of the following medications should nurse Carl plan to