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    Ati rn adult medical surgical 2023 proctored exam
    Select All That Apply

    The nurse is reviewing the client's medical record. Exhibits A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.

    Explanation & Rationale

    Rationale: A. Anticipate client to be prepped for cardiac catheterization: The client has been diagnosed with a myocardial infarction (MI) based on echocardiogram results. Cardiac catheterization is a next step to assess for blockages in coronary arteries and to guide potential interventions like angioplasty or stent placement. B. Assist with a continuous heparin infusion: Heparin is commonly used in patients with myocardial infarction to prevent further clot formation and reduce the risk of additional thrombotic events. C. Encourage the client to ambulate: Ambulation is not recommended during the acute phase of a myocardial infarction. The priority is to stabilize the patient and minimize physical exertion to reduce myocardial stress. D. Anticipate an increased dosage of metoprolol: The client's 1200 vital signs show a blood pressure of 110/62 mm Hg, which is significantly lower than the 1000 and 1015 readings (164/80 and 176/82 respectively) which does not indicate the need for an increased dose. E. Obtain a prescription for client to be NPO: The client may be prepped for a cardiac catheterization or other surgical procedures, which generally require the client to be NPO to reduce the risk of aspiration. F. Request a prescription for an antibiotic: There is no indication of an infection requiring antibiotics. Antibiotics would be prescribed only if there is a clear indication of infection.

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