ATI Med Surg 2023 A
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A nurse is caring for a client who is postoperative. - Hypovolemia
Complete the diagram by dragging from the choices - Initiate fluid challenge and insert a large-gauge IV.
below to specify what condition the client is most likely - Monitor blood pressure and urine output.
experiencing, two actions the nurse should take to
address that condition, and two parameters the nurse The nurse should insert a large-gauge IV and initiate a fluid challenge because
should monitor to assess the client's progress. the client is most likely experiencing hypovolemia as evidenced by the client's
restlessness, tachycardia, hypotension, decreased pulses, cool extremities, and
decreased urine output. The nurse should monitor the client's urine output and
blood pressure to evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II "You will need to stay still in the bed during each treatment session."
cervical cancer and is scheduled for brachytherapy.
Which of the following instructions should the nurse
include?
A nurse is caring for a client who is receiving dialysis Indicated:
treatment. For each potential nursing intervention, click to - Place the client in Trendelenburg position.
specify if the intervention is indicated or not indicated. - Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected Dysphagia
stroke. The nurse should place the priority on which of
the following findings?
A nurse is caring for a client who is 12 hr postoperative Place a pillow between the client's legs.
following a total hip arthroplasty. Which of the following
actions should the nurse take?
, A nurse is providing teaching to a client who takes ginkgo "Ginkgo biloba can cause an increased risk for bleeding."
biloba as an herbal supplement. Which of the following
statements should the nurse make?
A nurse is providing preoperative teaching for a client Demonstrate ways to deep breathe and cough.
who is scheduled for an open cholecystectomy. Which of
the following actions should the nurse take?
A nurse is assessing a client who has advanced lung Dyspnea
cancer and is receiving palliative care. The client has just
undergone thoracentesis. The nurse should expect a
reduction in which of the following common
manifestations of advanced cancer?
A nurse is assessing a client while suctioning the client's The client's heart rate increases.
tracheostomy tube. Which of the following findings
should indicate to the nurse the client is experiencing
hypoxia?
A nurse in the emergency department is caring for a The client is experiencing manifestations of PANCREATITIS as evidenced by the
client. Drag 1 condition and 1 client finding to fill in each AMYLASE AND LIPASE.
blank in the following sentence.
A nurse is assessing a client who is postoperative Temperature 38.9° C (102° F)
following a thyroidectomy. Which of the following
findings is the nurse's priority?
A nurse is caring for a client who has anorexia, low-grade Initiate airborne precautions.
fever, night sweats, and a productive cough. Which of the
following actions should the nurse take first?
A nurse is caring for a client who is postoperative - Instruct the client to splint the abdomen with a pillow for coughing.
following abdominal surgery. A nurse is caring for a client - Report urinary output to the provider.
who is postoperative. Which of the following actions - Plan to ambulate the client as soon as possible.
should the nurse take? Select all that apply. - Ask the client to rate their pain on a 0 to 10 pain scale.
A nurse in an acute care facility is caring for a client who Ensure that the client has a patent IV.
is at risk for seizures. Which of the following precautions
should the nurse implement?
A nurse is caring for a client. Drag 1 condition and 1 client The client is experiencing manifestations of PERITONITIS due to X-RAY RESULTS.
finding to fill in each blank in the following sentence.
A nurse is providing teaching to a client who is receiving "I will monitor my blood pressure while taking this medication."
chemotherapy and has a new prescription for epoetin
alfa. Which of the following client statements indicates an
understanding of the teaching?