ATI RN Adult Medical Surgical Practice with NGN

A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? Anorexia Abdominal pain radiating to the right shoulder Tachycardia Rebound abdominal tenderness Tachycardia -Tachycardia is a manifestation of biliary colic, which can lead to shock. The nurse should position the head of the client's bed flat and report this finding immediately A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and tingling sensation in their hands. Which of the following medications should the nurse plan to administer? Epoetin alfa Furosemide Captopril Calcium carbonate Calcium carbonate A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? "I will monitor my blood pressure while taking this medication" "I should take a vitamin D supplement to increase the effectiveness of the medication." "I should inform the provider if I experience an increased appetite while taking this medication" "I will decrease the amount of protein in my diet while taking this medication"I will monitor my blood pressure while taking this medication" -monitor their blood pressure while taking this medication because hypertension is a common adverse effect and can lead to hypertensive encephalopathy. Rationale -client requires an adequate intake of iron, folic acid, and vitamin B12 while taking this medication because they are essential to the production of s. -increase the amount of protein in their diet while receiving chemotherapy to decrease the risk for infection. The nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? -A client who is receiving preoperative teaching for a right knee ty. -A client who states they will have difficulty obtaining a walker for home use. -A client who reports an increase in pain following a left hip ty. -A client who is having emotional difficulty accepting that they have a prosthetic leg. A client who is receiving preoperative teaching for a right knee ty. -should make a referral to physical therapy for a client who is receiving preoperative teaching for a knee ty so the client can begin understanding postoperative exercises and physical restrictions. Rationale -should make a referral to a social worker for walker -should contact the provider for a client who is experiencing increased pain following a left hip ty. -should refer the client to a counselor to assist with coping with the adjustment to the need of a prosthetic leg.