CAPSTONE ATI NCLEX MEDICAL SURGICAL ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED ANSWERS LATEST DOWNLOAD 2024/2025

CAPSTONE ATI NCLEX MEDICAL SURGICAL ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM SOLUTION GRADED A+ FOR SUCCESS C. Occasional premature ventricular contractions (PVCs) D. Nausea - CORRECT ANSWERS B) No response to verbal stimuli using urgent vs non-urgent approach, this is the priority. During moderate sedation, the pt should be able to provide a response to questions and commands. No response to verbal stimuli can indicate a loss or consciousness or oversedation A nurse is reviewing the laboratory findings for a client who has heart failure and is taking furosemide. The nurse should identify which of the following findings as an adverse effect of the medication A. Sodium 142 mEq/L B. Metabolic acidosis C. Potassium 3.2 mEq/L D. Hypoglycemia - CORRECT ANSWERS C. Potassium 3.2 mEq/L Loop diuretics remove excessive extracellular fluid through the kidneys, causing an increased excretion of potassium. Monitor for dysrhythmias A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (select all that apply) A. Monitor peripheral pulses in the affected extremity B. Position weights against the foot of the bed C. Adjust the prescribed weights every 24 hrs D. Examine the skin under the traction bood E. Assess the temperature of the affected extremity - CORRECT ANSWERS A, D, E -- A, closely monitor the neurovascular integrity. Circulation can be compromised from the fracture as well as the traction device D, monitor skin integrity at least every 8 hrCAPSTONE ATI NCLEX MEDICAL SURGICAL ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM SOLUTION GRADED A+ FOR SUCCESS E, Circulation can be compromised from the fracture as well as the traction device. Check and document color, temperature, distal pulses, capillary refill, movement, and sensation during neurovascular assessment. Monitor 6 P's: pain, pallor, pulselessness, pressure, paresthesia, and paralysis A nurse is reviewing safety measures with the caregiver of a client who has Alzheimer's disease. Which of the following instructions should the nurse include in the teaching A. Lock doors leading to stairways B. Instruct the client not to use the stove C. Place a throw rug in front of the toilet D. Provide a darkened room for the client to sleep - CORRECT ANSWERS A) Lock doors leading to stairways This pt is at an increased risk for falls d/t difficulty with balance and an inability to recognize dangerous situations due to brain damage from the disease A nurse is developing a plan of care for a client who has meningitis. Which of the following interventions should the nurse include in the plan A. Keep the client's room dark and quiet B. Perform a vascular assessment for the client every 6 hr C. Maintain the head of the client's bed at 15 degrees at all times D. Place the client on contact precautions - CORRECT ANSWERS A) Keep the client's room dark and quiet Meningitis often causes photophobia and phonophobia. Reduce stimuli A nurse is caring for a client who has a right subclavian central venous catheter. Which reconnecting a new intravenous infusion administration set, which of the following actions should the nurse take A. Ask the client to exhale slowlyCAPSTONE ATI NCLEX MEDICAL SURGICAL ASSESSMENT 1 QUESTIONS AND CORRECT DETAILED ANSWERS LATEST DOWNLOAD 2024/2025 BEST EXAM SOLUTION GRADED A+ FOR SUCCESS B. Turn the client's head to the right C. Place the client in a semi fowlers position D. use aseptic technique - CORRECT ANSWERS D use aseptic technique aseptic= sterile prevents central line related blood infections when disconnecting and reconnecting the new set A nurse is teaching a client how to administer a medication using an inhaler with a spacer. Which of the following instructions should the nurse include A. "Wait at least 5 minutes between puffs from the same inhaler" B. "Breathe in rapidly when inhaling the medication" C. "Clean the plastic inhaler cap weekly with cold water" D. "Shake the inhaler vigorously prior to use" - CORRECT ANSWERS D .) "Shake the inhaler vigorously prior to use" Thoroughly shake the inhaler to disperse the medication because the medication in the inhaler can separate easily A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following actions should the nurse include in the plan A. Provide the client with a means of communication B. Maintain the head of the client's bed in a flat position C. Suction the client's endotracheal tube every 4 hr D. Perform oral hygiene for the client every 8 hr - CORRECT ANSWERS A.) Provide the client with a means of communication Use electronic tablet computer, programmable speech generating device, alphabet board, pencil and paper, etc A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydration. Which of the following laboratory results indicates effectiveness of the treatment