NSG 430 2 SOCRATIVE (Complete And Verified Study material) (13pages) LEARNEXAMS

1. The nurse notices this rhythm on the client's monitor.The client is not responding and has no pulse.The priority intervention includes: Defibrillation Administer Atropine Administer Adenosine CPR: Answer CPR This rhythm is PEA- pulseless electrical activity.This is not a shockable rhythm therefore CPR should be initiated immediately. 2. MONA stands for: Meperidine, Octreotide, Nipride, Acetaminophen Morphine, Oxygen, Nitroglycerin, Aspirin Morphine, Oxycodone, Nitroglycerin, Albuterol Metoprolol, Omeprazole, Naproxen, Aspirin: Answer Morphine, Oxygen, Nitroglycerin, Aspirin 3. Client presents with fluid volume overload and left sided heart failure. Assessment revealed a holosystolic "blowing" murmur. Past medical history includes infective endocarditis.The echocardiogram confirms the diagnosis of: Aortic valve stenosis Mitral valve stenosis Aortic valve regurgitation Mitral valve regurgitation: Answer Mitral valve regurgitation A. Reflux of blood from the left ventricle into the left atrium during systole. B. Causes: complication of mitral valve prolapse;LV dilatation, infective endocarditis; acute rheumatic heart disease, and papillary muscle rupture after an MI. C. Clinical features: 1. Holosystolic "blowing" murmur 2. Volume overload and left-sided heart failure 4. A client presents with SOB, crackles, pulmonary hypertension, and the echocardiogram shows a left atrial hypertrophy.The EKG shown isthe client's rhythm. This