ATI MEDSURG PROCTORED FINAL EXAM (218 Q & As) BEST EXAM SOLUTION GUARANTEED SUCCESS SOLVED AND GRADE A+

Med Surge Final Exam, 1 A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? Amylase Rational Amylase is an enzyme that changes complex sugars into simple sugars that can be used by the body. It is produced by the pancreas and salivary glands and released into the mouth, stomach, and intestines to aid in digestion. The amylase level of a client who has acute pancreatitis usually increases within 12 to 24 hr and can remain elevated for 2 to 3 days. 2…. A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following actions should the nurse take after noticing a rise in the water seal chamber with client inspiration? Continue to monitor the client. Rational The fluid in the water seal chamber rises 2 to 4 inches during inhalation and falls during exhalation. This is a process called tidaling. An absence of tidaling might indicate a fully expanded lung or an obstruction in the chest tube. 3…. A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is with drawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take? Establish a plan of care with the client that sets attainable goals. Rational The nurse should develop a plan of care for this client with mutually set goals. This action invests the client in the rehabilitation process, which encourages feelings ofownership for it, and sees the goals as more attainable 4…. A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a SengstakenBlakemore tube to control the bleeding. Which of the following actionsshould the nurse take? Provide frequent oral and nares care. Rational A client who has a Sengstaken-Blakemore tube in place is unable to swallow. If the client is alert, the nurse should encourage the client to spit saliva into a tissue or basin. If the client is not alert, gentle suctioning of the oral cavity and nares might be required to remove secretions. 5….A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors? Dark and foamy Rational The nurse should expect the client to have dark and foamy urine, which indicates the kidneys are filtering excess bilirubin from the blood. 6….A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication? Erythrocyte sedimentation rate (ESR) Rational Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful in detecting and monitoring tissue inflammation in clients with RA. As the disease improves the ESR decreases.