ATI RN Adult Medical Surgical Proctored Exam 2019 with NGN

Compartment syndrome - Pain that increases with passive movement in a client with a short leg cast Lyme disease - Joints ache as a manifestation of severe stage II Lyme disease Phenytoin - Oral solution 125 mg/5 mL, nurse should administer 24 mL for 600 mg Arterial line - Flush line before administering antibiotics Chemotherapy - Report of sore throat is the priority finding for a client receiving chemotherapy Systemic lupus erythematosus (SLE) - Facial butterfly rash is an expected finding in a client with SLE Parathyroidectomy - Using pillows to support the client's head and neck is the priority action Diabetes insipidus - Low urine specific gravity is an expected finding in a client with diabetes insipidus Cervical cancer - Implant placed twice each month for the duration of the treatment in stage II cervical cancer Thoracentesis - Instruct the client to remain NPO after midnight prior to the procedure Blood transfusion - Restlessness, dyspnea, and crackles noted to the lung bases indicate a transfusion reaction Kidney transplant - Immunosuppressive therapy is necessary until the donated kidney begins producing urine Hypothyroidism - Constipation is an expected manifestation of hypothyroidism Mastectomy - Referring the client to community resources that can provide support is an appropriate statement for a client scheduled for a mastectomy Nephrostomy tube - The client reporting back pain is an indication of a complication and should be reported to the provider Alzheimer's disease - Position tabletop clocks with multi-colored backgrounds throughout the home for a client with Alzheimer's disease Cancer pain - Speaking to the provider about incorporating acupuncture into the treatment plan is an appropriate response for a client with cancer pain Extubation - Stridor is an indication of airway obstruction and should be reported to the provider immediately Myocardial infarction (MI) - Creatine kinase (CK-MB) 85 mg/dL is an indication of a myocardial infarction Blood transfusion - Checking for the type and number of units of blood to administer is the first action before initiating a blood transfusion Aplastic anemia - WBC count 2,000/mm^3 indicates a potential complication in a client with aplastic anemia Modified radical mastectomy - Flex the affected arm when ambulating is an appropriate instruction for a client following a modified radical mastectomy