Med Surg ATI WITH COMPLETE SOLUTIONS

red rash on face, fever, weight loss and join pain. Nurse should prepare client for which lab test? - ANSWER Antinuclear antibody (ANA) titer client experienced an acute myocardial infarction 6 days ago. Which lab values should be expected to remain elevated at this time? - ANSWER Troponin T A nurse is caring for an older adult client who has left-sided heart failure. What finding should the nurse expect? - ANSWER Frothy sputum deep laceration on her left lower forearm and is bleeding heavily from the wound. Actions to take first ? - ANSWER Apply pressure directly to the wound myocardial infarction; which medicine administered first? - ANSWER needs oxygen care of a client 2hr postoperative following a cardiac catheterization. actions should be take? - ANSWER check the clients distal pulses in both legs client admitted to the telemetry unit after experienced chest pain, dyspnea and diaphoresis. What ECG findings is a manifestation of acute myocardial infarction? - ANSWER The ST segment is above the isoelectric line client scheduled for coronary artery bypass grafting who reports he no longer wants to have the procedure. What responses should the nurse make? - ANSWER "Bypass surgery must be very frightening for you" nurse is planning a diet for a client who has an iron deficiency. What should be provided in the clients diet to increase the clients iron intake? - ANSWER roast beef reinforcing teaching with a client who is taking warfarin about monitoring its therapeutic effect. The nurse should issue which of the following statements about the providers use of the international normalized ratio (INR)? - ANSWER "This is a standardized test, so it eliminates the variations different laboratories report in prothrombin times" client ask why she is being prescribed aspirin 325mg daily following a myocardial infarction. Nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects? - ANSWER to prevent blood clotting a nurse is assisting with the care of a client who was admitted to the emergency department with reports of chest pain and severe epigastric distress. The nurse should anticipate that in the presence of an acute myocardial infarction the clients creatinine kinase-MB (CK-MB) is expected to peak how many hours after the onset of chest pain? - ANSWER 24hr a nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse identify as the most important to report to the provider? - ANSWER Increase in serum creatinine A nurse is reinforcing teaching with newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching? - ANSWER Agitation a nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Multiple choices) - ANSWER nausea tachycardia diaphoresis a nurse is caring for a client who is at risk for shock. which of the following findings should the nurse expect? - ANSWER Increased blood pressure A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse make? - ANSWER "The biopsy can be uncomfortable, but we will try to keep you as comfortable as possible" Client recovering from a stroke. Client states " I feel like less of a man. My wife says she is thankful I am alive but I'm sure this is not how she expected us to spend our retirement years." Which of the following is an appropriate response? - ANSWER "In what way do you feel like you are less of a man?" A nurse is monitoring a clients peripheral circulation. identify where the nurse should palpate to check the posterior tibial pulse? - ANSWER ..... A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas? to prevent what ? - ANSWER Place the sandbag on the clients left groin area 1 to 3 hr to prevent bleeding from the insertion site. A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make? - ANSWER "This indicates turbulent blood flow through a valve" A nurse is monitoring a client receiving packed RBCs. The nurse notices facial flushing, and the client reports lower back pain. Which of the following action is the priority for the nurse to take? - ANSWER Stop the transfusion A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the clients indicates a need for further teaching? - ANSWER "I will wear stockings with elastic tops" A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. which of the following statements by the client indicates an understanding of the teaching? - ANSWER "I will need to take this medication for the rest of my life" A nurse is assisting to monitor a client who is receiving a blood transfusion. Which of the following findings should the nurse report to the charge nurses as an indication of an allergic blood transfusion reaction? - ANSWER Generalized urticaria A nurse is caring for a client whose history reveals the clinical manifestations of pernicious anemia. The nurse should anticipate a prescription for which of the following diagnostic tests? - ANSWER Schilling test Client with vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the clients comfort? - ANSWER Obtain a pair of slipper socks for the client severe radiating chest pain and shortness of breath. Client appears restless, frightened and slightly cyanotic. Provider prescribes: oxygen by nasal cannula at 2 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first? - ANSWER Initiate oxygen therapy A nurse is caring for a client who is unconscious following a stroke. Which of the following nursing interventions is of highest priority? - ANSWER Suction saliva from the clients mouth A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the clients pulse, which of the following terms should the nurse use? - ANSWER Irregular Client is receiving unit packed of RBCs. 15 min following the start of the transfusion, the nurse notes that the client is flushed and febrile, and reports chills. To help confirm that the client is having an acute hemolytic transfusion reaction, the nurse should observe for which of the following manifestation? - ANSWER Hypotension