1.
The nurse is caring for a client receiving morphine 4 mg IV every 15 minutes for chest pain. Which assessment finding is of most concern to the nurse?
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Heart rate 68 beats/min
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Respiratory rate 8 breaths/min
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Blood pressure 118/68 mm Hg
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Oxygen saturation 95% on room air
2.
The nurse has administered sublingual nitroglycerin to a client with chest pain. Which assessment finding does the nurse anticipate for this client?
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An increase in respiratory rate
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An increase in heart rate
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A decrease in blood pressure
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A decrease in oxygen saturation
3.
At what rate should the nurse administer adenosine 6 mg IV to a client with supraventricular tachycardia?
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Over 1–2 seconds
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Over 1 minute
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Over 5–10 minutes
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Slowly over 1–2 hours
4.
Which question should the nurse ask a client before administering nitroglycerin for chest pain?
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Do you have lupus erythematosus?
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Do you have a history of asthma?
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Do you take any medications for erectile dysfunction?
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Do you have Wolff–Parkinson–White syndrome?
5.
The nurse in the emergency department is caring for a client who reports chest pain that is relieved at rest. Which diagnosis should the nurse anticipate?
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Stable angina
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Unstable angina
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Myocardial infarction
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Ventricular dysrhythmia
6.
The health care provider has ordered diltiazem IV bolus 0.25 mg/kg for a client with atrial fibrillation with rapid ventricular response. The client weighs 176 lb (80 kg). What is the correct dose of diltiazem for the nurse to administer?
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15 mg
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20 mg
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25 mg
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30 mg
7.
Which therapeutic response would the nurse anticipate when administering epinephrine to a client in anaphylaxis?
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Bronchodilation
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Bradycardia
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Hypotension
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Hypokalemia
8.
Which adverse effect should the nurse monitor for in the client receiving dopamine by peripheral IV infusion?
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Dizziness
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Skin sloughing at the IV site
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Electrolyte abnormalities
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Facial flushing
9.
The nurse in the cardiology clinic is caring for a client taking an antidysrhythmic medication for ventricular dysrhythmia who develops a positive antinuclear antibody test. Which antidysrhythmic medication does the nurse anticipate this client is taking?
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Amiodarone
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Diltiazem
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Lidocaine
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Procainamide
10.
What is the preferred route for administering epinephrine to a client with anaphylaxis who is in sinus tachycardia?
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Intramuscular
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Intravenous
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Sublingual
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Inhalation