ATI Med-Surg

Maintaining airway patency and ventilation and monitoring circulatory status are the priorities for care. Risk Factors for Complications: - Immobility: Respiratory compromise, thrombophlebitis, pressure ulcer. - Anemia: Blood loss, inadequate/decreased oxygenation, impaired healing factors. - Hypovolemia: Tissue perfusion. - Hypothermia: Risk of surgical wound infection, altered absorption of medication, coagulopathy, cardiac dysrhythmia. - Cardiovascular diseases: Fluid overload, deep-v...

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan? A. Include foods high in starch and proteins Foods high in starch and proteins do not affect the episodes of biliary colic. B. Include foods high in fiber. A high-fiber diet does not affect the episodes of biliary colic. C. Avoid foods high in fat. The nurse should instruct the client to fol...

Adult Med- Surg Notes

Which information about an 80-year-old man at the senior center is of most concern to the nurse? A. Decreased appetite B. Unintended weight loss Correct C. Difficulty chewing food D. Complaints of indigestion 2. 2.ID: A 62- year-old man reports chronic constipation. To promote bowel evacuation, the nurse will suggest that the patient attempt defecation A. in the mid-afternoon. B. after eating breakfast. Correct C. right after getting up in the morning. D. immediately before the firs...

Question: 1 of 50 A nurse is caring for a client who is hyperventilating and has the following results: pH 7.50, PaCo2 29mm Hg, and HCO2 25mEq/L. The nurse should recognize that the client has which of the follow- ing acid-base imbalance? a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolicalkal osisAnswer: b Question 2 of 50 A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should the nur...

Func of Liver: Storage protection & metabolism; Produces bile to break down nutrients; Creates clotting factors; Stores glycogen, iron, minerals, fat soluble vitamins;Synthesizes protein/cholesterol Hepatitis A Hep A: Hardy virus: stays on surface, doesn’t die easily), survives on human hands, resistant to detergents and acids but destroyed by bleach and extremely high temperatures Transmission: Fecal-oral transmission, contaminated water s/s: Mild flu-like symptoms Risk factors: Travelin...

1. A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was a.) dysphagia b.) hoarseness c.) dyspnea d.) weight loss 2. A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is febrile, with chills and red- tinged urine. Which of the fo...

A nurse is caring for a client who is starting hemodialysis. What effect will dialysis have on protein levels and how will the impact protein intake for the client? Suggested Adult Med Surg Learning Activity: Dialysis - Dialysis removes protein from the blood. - Client will need to consume a diet high in carbohydrates and moderate fat. Client will also need to consume more protein than their pre-dialysis diet. A client has been newly diagnosed with Type 1 diabetes mellitus. He tells the nur...

First Lecture: Endocrine Disorders Diabetes Mellitus - Patients with DM usually have a variety of comorbidities, such as heart disease, HTN, and history/risk of stroke - Leading cause of blindness, ESRD (end stage renal disease), lower limb amputations - Acute S/S - Polyuria, polydipsia, polyphagia (excessive hunger) - Fatigue (lack of E), prolonged wound healing and recurrent infections (microorganisms feed of f the blood glucose)...

An older adult is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? - ANSWER-Urine Specific gravity 1.045 A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an increase in osmolarity, which is a manifestation of hypertonic dehydration. A nurse in a community clinic is caring for a client who reports an increase in the frequency of m...