ATI Capstone Adult Medical Surgical Assessment 2

What is the first action a healthcare provider should take for a patient with possible acute coronary syndrome?

A. Administer sublingual nitroglycerin B. Get IV access C. Auscultate heart sounds D. Obtain cardiac enzymes

What is the priority intervention for a patient with unstable angina?

A. Administer nitroglycerin B. Establish IV access C. Auscultate heart sounds D. Administer aspirin

A nurse misreads a glucose level and administers insulin for a blood glucose of 210 mg/dL instead of 120 mg/dL. What is the priority intervention?

A. Monitor for hypoglycemia B. Monitor for hyperkalemia C. Administer glucose IV D. Document the incident

What dietary recommendation should be given to a patient with pre-dialysis end-stage kidney disease?

A. Limit phosphorus intake to 700 mg/day B. Increase sodium intake C. Restrict protein intake to 0.55-0.60 g/kg/day D. Eat three large meals per day

What are the early signs of increased intracranial pressure (IICP)?

A. Restlessness, irritability, and confusion B. Sudden onset of seizures C. Decreased heart rate and pupillary response D. Loss of consciousness

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