ATI Capstone Med Surg Questions and Answers Already Passed

ATI Capstone Med Surg Questions and Answers Already Passed a nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis. what would the nurse expect to see Correct Answer-pH below 7.35 a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3), what should the nurse anticipate as the cause of these s/s Correct Answer-HF a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses every 12 hours, available is 6.7 mEq/5mL. how many mL should the nurse administer per dose? Correct Answer-30mL a nurse is caring for a pt in the ED who was just admitted with chest pain, possible acute coronary syndrome. what should the nurse do first? Correct Answer-administer sublingual nitroglycerin (treat chest pain to reduce cardiac tissue damage) a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the RRT is at the bedside. what electrical intervention should be used to correct this dysrhythmia? Correct Answer-synchronized cardioversion (tx for afib, SVT, and v tach with a pulse) a nurse is caring for an adult pt who is experiencing delayed wound healing, which of the following interventions should the nurse take? Correct Answer-monitor serum albumin levels and notify provider if below 3.5g/dL (lack of protein increases the risk for a delay in wound healing and infection) a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be included? Correct Answer-reduce intake of foods high in potassium (potassium clearance is impaired in ESKD) a nurse is caring for a client who has T1DM, the nurse misread the client's morning BG level as 210mg/dL, instead of 120mg/dL and administered the insulin dose appropriate for a reading over 200mg/dL before the client's breakfast, what action is the nurse's priority? Correct Answer-monitor the client for hypoglycemia a nurse is planning care for a pt who has a new diagnosis of DI, which of the following interventions should the nurse include in the plan of care? Correct Answer-check urine specific gravity a nurse is caring for a pt admitted with wheezing and coughing due to an allergic reaction to a newly prescribed medication, what medication should be administered first? Correct Answer-albuterol 3mL via nebulizer a nurse is caring for a female client in the ED who reports SOB and pain in the lung area, she states that she started taking BC pills 3 weeks ago and that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80, her ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is the priority of nursing interventions Correct Answer-administer oxygen via face mask a nurse is caring for a pt following repair of a fracture, what finding should alert the nurse that the pt is experiencing compartment syndrome? Correct Answer-unrelieved pain, pallor, pulselessness, numbness, pins and needles sensation, swelling, tightness of the effected extremity a nurse is administering a tap water enema to a pt who is constipated, during the administration of the enema, the client states he is having abdominal cramps, what action should the nurse take to relieve the client's comfort Correct Answer-lower the height of the solution container a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the nurse take? Correct Answer-place the clients bedside table on the right side of the bed a nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator that this complication is developing? Correct Answer-narrowing pulse pressure a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what finding should the nurse expect Correct Answer-weak, irregular pulse a nurse is providing teaching for a client who has experienced an acute episode of gastritis, what instruction should the nurse include in the teaching? Correct Answer-avoid drinking alcohol a nurse at an outpt surgery center is providing discharge teaching to a pt an his spouse following surgical removal of a cataract, what should the nurse include? Correct Answer-the client should wear dark glasses while outdoors a nurse is assessing a pt who has a puncture wound on his foot, what is a manifestation of acute osteomylitis? Correct Answer-localized erythema a nurse is monitoring a pt who had a cerebral aneurysm rupture, what finding should the nurse identify as a manifestation of increased intracranial pressure Correct Answer-irritability when caring for a pt with a chest tube the nurse notes continuous bubbling in the chest tube water seal chamber, what does this indicate Correct Answer-an air leak a nurse is an ED is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache, and vomiting, the pts vital signs are as follows: BP 198/110, pulse of 82/min, RR of 24m/min, temp of 100.8F, what neuro disorders should the nurse suspect Correct Answer-hemorrhagic stroke a nurse is caring for a pt who is 2hr postoperative following a TURP, what assessment should be an indication of a postoperative complication Correct Answer-output of burgundy colored urine a nurse is caring for a pt who has HIV, what following lab values is the nurse's priority Correct Answer-CD4 T cell count 180 cells/mm3 (severely immunocompromised and at high risk of infection) a nurse is teaching a pt who has GERD about managing his illness, what recommendations should the nurse include in the teaching Correct Answer-avoid eating within 3 hours of bedtime a nurse is a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension, the nurse notes that the potassium level is 3.3, the nurse should monitor for the complication of Correct Answer-cardiac dysrhythmias a nurse is caring for a pt with who has hepatitis A, the pt asks the nurse how he might have contracted virus, which of the following a question the nurse should ask the client? Correct Answer-have you been to a third world country in the past a nurse is preparing a pt for a radiation treatment who is postop following a mastectomy, the nurse should inform the pt to expect what adverse effect from the treatment? Correct Answer-fatigue a nurse is in a burn tx center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy, the client's spouse asks the nurse what the procedure entails, which of the following statements made by the nurse is appropriate Correct Answer-large incisions will be made in the eschar to improve circulation a nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect Correct Answer-the pt reports tingling and burning sensation in one foot a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a "migraine coming on", the nurse should expect the pt to report what manifestation Correct Answer-visual disturbance a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as the disease progresses, what would she include? Correct Answer-double vision a nurse is teaching a pt who has asthma about using a peak flow meter,