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Exam (elaborations)

Med surg- proctored ATI EXAM WITH QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)

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Med surg- proctored ATI EXAM WITH QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)

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A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be
applied to her burn wounds. The nurse should evaluate the client for which of the
following laboratory findings?




Leukopenia

Transient leukopenia is an adverse effect of silver sulfadiazine.




A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of
the following findings should the nurse expect?

, Prolonged QT intervals

Manifestations of hypocalcemia include tingling, numbness, seizures,
prolonged QT intervals, and laryngospasm. Causes include
hypoparathyroidism, chronic kidney disease, and diarrhea.




A nurse is providing teaching to a client who is preoperative for a renal biopsy. Which of
the following statements should the nurse make?




"You will need to be on bed rest following the procedure."

A renal biopsy involves a tissue biopsy through needle insertion into the lower
lobe of the kidney. The client should maintain bed rest in a supine position with
a back roll for support for 2 to 24 hours following the procedure to reduce the
risk of bleedings. The nurse can elevate the head of the bed.




A nurse is reviewing laboratory values for an adult who has sickle cell anemia and a
history of receiving blood transfusions. For which of the following complications should
the nurse monitor?

, Iron toxicity

A client who has received several blood transfusions is at risk of
hemosiderosis, which is the excess storage of iron in the body. Excessive iron
can come from overuse of supplements or from receiving frequent blood
transfusions as in sickle cell anemia.




An nurse is planning care for a client following placement of a chest tube 1 hr ago. Which
of the following actions should the nurse include in the plan of care?




Tape all connections between the chest tube and drainage system


The nurse should tape all connections to ensure that the system is airtight and
prevent the chest tubing from accidentally disconnecting.




A nurse is conducting an admission history for a client who is to undergo a CT scan with
an IV contrast agent. The nurse should identify that which of the following findings
requires further assessment?


Give this one a try later!

, History of asthma

A client who has a history of asthma has a greater risk of reacting to the
contrast dye used during the procedure. Other conditions that can result in a
reaction to contrast media include allergies to foods, such as shellfish, eggs,
milk, and chocolate.




A nurse is teaching a client with chronic kidney disease about predialysis dietary
recommendations. The nurse should recommend restricting the intake of which of the
following nutrients?


Give this one a try later!


Protein


Dietary restrictions for clients who have chronic kidney disease vary based on
the degree of kidney function; however, most clients need protein limitations.
Predialysis protein restriction can help preserve some kidney function.




A nurse is assessing a client who has Graves disease. Which of the following findings
should the nurse expect the client to display?


Give this one a try later!


Difficulty sleeping

A client who has Graves' disease can have difficulty sleeping and anxiety due
to the overproduction of thyroid hormone.

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