ATI MEDICAL SURGERY PROCTORED EXAM

A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. Regular insulin c. Furosemide d. Lithium carbonate Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and to stop patient on urinating. This study source was downloaded by from CourseH on :06:11 GMT -05:00 ATI MEDICAL SURGERY PROCTORED EXAM 3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following test should the nurse monitor? a. Fasting blood glucose b. Stool for occult blood - GI bleed c. Urine for white blood cells d. Serum calcium Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abdominal pain). 4. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.) a. Obtain a sputum sample for culture b. Prepare the client for a chest x-ray c. Initiate airborne precautions d. Administer ondansetron. Rationale: No idea what the Exhibit is all about; won’t be able to answer it. Endocrine This study source was downloaded by from CourseH on :06:11 GMT -05:00 A nurse is planning care for a client who has Cushing’s syndrome due to chronic corticosteroid use. Which of the following actions should the nurse involve in the plan of care? Check the client’s urine specific gravity. Rationale: to assess for fluid volume overload. A nurse is providing teaching to a client who has Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching? Turkey and cheese sandwich Rationale: high in protein, carbohydrates, and sodium. A client who has Addison’s requires a diet low in potassium, and high in protein, carbs, and sodium. A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The nurse should understand that which of the following laboratory values is consistent with diabetic ketoacidosis? Bicarbonate level 12 mEq/L Rationale: DKA patients have bicarbonate levels less than 15 A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia? Increased urination Rationale: increased urination/polyuria, is a manifestation of hyperglycemia due to a deficiency of insulin, which can lead to osmotic diuresis. A nurse is assessing a client who has Addison's disease. Which of the following skin manifestations should the nurse expect to find? Bronze pigmentation of ski