ATI ADULT MED SURG /ATI RN ADULT MEDICAL SURGICAL (NGN) 2023 QUESTIONS WITH VERIFIED ANSWERS/A+ GRADE ASSURED ++

ATI ADULT MED SURG /ATI RN ADULT MEDICAL SURGICAL (NGN) 2023 QUESTIONS WITH VERIFIED
ANSWERS/A+ GRADE ASSURED




ATI ADULT MED SURG /ATI RN ADULT MEDICAL SURGICAL

(NGN) 2023 QUESTIONS WITH VERIFIED ANSWERS/A+

GRADE ASSURED




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,ATI ADULT MED SURG /ATI RN ADULT MEDICAL SURGICAL (NGN) 2023 QUESTIONS WITH VERIFIED
ANSWERS/A+ GRADE ASSURED




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• "I will need to take antibiotics for 1 year." – INCORRECT

o A client who has severe stage I Lyme disease will be prescribed a

30-day course of antibiotics. The nurse should emphasize to the

client that, like with other types of infection, the full course of

antibiotics should be completed.

• "My partner will need to take an antiviral medication." –

INCORRECT

o Lyme disease is a vector-borne illness that is treated with

antibiotics. Other vector-borne illnesses, such as West Nile Virus,

are treated with antiviral medications. Lyme disease is not

transmitted to others via human contact.

• "My joints ache because I have Lyme disease." – CORRECT

o Lyme disease is a vector-borne illness transmitted by the deer

tick. The disease course occurs in three stages beginning with

joint and muscle pain in stage I. If left untreated, these

symptoms continue throughout stage I and, by stage Ill, become

chronic. Other chronic complications include memory problems

and fatigue

• "I bruise easily because I have Lyme disease. – INCORRECT

o Lyme disease is an infectious disease that affects the body
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,ATI ADULT MED SURG /ATI RN ADULT MEDICAL SURGICAL (NGN) 2023 QUESTIONS WITH VERIFIED
ANSWERS/A+ GRADE ASSURED
systemically, involving the neurologic, musculoskeletal, and cardiac

systems. Cardiac manifestations include carditis and dysrhythmias.

However, a client who has stage Il Lyme disease does not typically

experience bruising.




• Extremity cool upon palpation – CORRECT

o The nurse should report indicators of reduced circulation, such as

pallor, cool temperature, or paresthesia of the client's extremity.

These findings can indicate that the client is at risk for developing

acute compartment syndrome.

• Serosanguineous drainage on the dressing – INCORRECT

o Serosanguineous, or blood-tinged, drainage on the dressing is an

expected finding following surgery. Serosanguineous

drainage is present the first few days following surgery as the

wound heals.

• Capillary refill of 2 seconds – INCORRECT

o A capillary refill of 2 seconds is within the expected reference

range and indicates the client has adequate arterial blood flow. A

delay in capillary refill can indicate an earl manifestation of acute

compartment syndrome.

• Client report of discomfort when moving toes – INCORRECT
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, ATI ADULT MED SURG /ATI RN ADULT MEDICAL SURGICAL (NGN) 2023 QUESTIONS WITH VERIFIED
ANSWERS/A+ GRADE ASSURED
o A report of discomfort when moving toes is an expected finding

following surgery. However, a report of increased pain at the

surgical site when moving can indicate an early manifestation of

acute compartment syndrome.




• The client starts to cough. – INCORRECT

o The nurse should expect the client to cough during suctioning of a

tracheostomy due to bronchial stimulation.

• The client's heart rate increases. – CORRECT

o Hypoxia related to suctioning can cause the client's heart rate to

increase. If this occurs, the nurse should discontinue the suctioning

and manually oxygenate the client with 100% oxygen. The nurse

should instruct the client to take three or four deep breaths prior to

suctioning to reduce the risk for hypoxia.

• The client is diaphoretic. – INCORRECT

o Diaphoresis is not associated with suction-induced hypoxia.

However, long-term hypoxia can lead to diaphoresis.

• The client's blood pressure decreases. – INCORRECT

o A clients blood pressure can increase initially with hypoxia. If this

occurs, the nurse should stop suctioning and manually oxygenate

the client. Long-term hypoxia can lead to a decrease in blood
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