ATI Capstone Med Surg
, a nurse is reviewing the ABG results of a client who the provider suspects has
metabolic acidosis. what would the nurse expect to see - Answer pH below 7.35
a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3),
what should the nurse anticipate as the cause of these s/s - Answer HF
a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses
every 12 hours, available is 6.7 mEq/5mL. how many mL should the nurse administer
per dose? - Answer 30mL
a nurse is caring for a pt in the ED who was just admitted with chest pain, possible
acute coronary syndrome. what should the nurse do first? - Answer administer
sublingual nitroglycerin
(treat chest pain to reduce cardiac tissue damage)
a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the
RRT is at the bedside. what electrical intervention should be used to correct this
dysrhythmia? - Answer synchronized cardioversion
(tx for afib, SVT, and v tach with a pulse)
a nurse is caring for an adult pt who is experiencing delayed wound healing, which of
the following interventions should the nurse take? - Answer monitor serum albumin
levels and notify provider if below 3.5g/dL
(lack of protein increases the risk for a delay in wound healing and infection)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be
included? - Answer reduce intake of foods high in potassium
(potassium clearance is impaired in ESKD)
a nurse is caring for a client who has T1DM, the nurse misread the client's morning BG
level as 210mg/dL, instead of 120mg/dL and administered the insulin dose appropriate
for a reading over 200mg/dL before the client's breakfast, what action is the nurse's
priority? - Answer monitor the client for hypoglycemia
a nurse is planning care for a pt who has a new diagnosis of DI, which of the following
interventions should the nurse include in the plan of care? - Answer check urine specific
gravity
a nurse is caring for a pt admitted with wheezing and coughing due to an allergic
reaction to a newly prescribed medication, what medication should be administered
first? - Answer albuterol 3mL via nebulizer
, a nurse is reviewing the ABG results of a client who the provider suspects has
metabolic acidosis. what would the nurse expect to see - Answer pH below 7.35
a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3),
what should the nurse anticipate as the cause of these s/s - Answer HF
a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses
every 12 hours, available is 6.7 mEq/5mL. how many mL should the nurse administer
per dose? - Answer 30mL
a nurse is caring for a pt in the ED who was just admitted with chest pain, possible
acute coronary syndrome. what should the nurse do first? - Answer administer
sublingual nitroglycerin
(treat chest pain to reduce cardiac tissue damage)
a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the
RRT is at the bedside. what electrical intervention should be used to correct this
dysrhythmia? - Answer synchronized cardioversion
(tx for afib, SVT, and v tach with a pulse)
a nurse is caring for an adult pt who is experiencing delayed wound healing, which of
the following interventions should the nurse take? - Answer monitor serum albumin
levels and notify provider if below 3.5g/dL
(lack of protein increases the risk for a delay in wound healing and infection)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be
included? - Answer reduce intake of foods high in potassium
(potassium clearance is impaired in ESKD)
a nurse is caring for a client who has T1DM, the nurse misread the client's morning BG
level as 210mg/dL, instead of 120mg/dL and administered the insulin dose appropriate
for a reading over 200mg/dL before the client's breakfast, what action is the nurse's
priority? - Answer monitor the client for hypoglycemia
a nurse is planning care for a pt who has a new diagnosis of DI, which of the following
interventions should the nurse include in the plan of care? - Answer check urine specific
gravity
a nurse is caring for a pt admitted with wheezing and coughing due to an allergic
reaction to a newly prescribed medication, what medication should be administered
first? - Answer albuterol 3mL via nebulizer
