ATI Capstone Med Surg Questions & Answers.

a nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis. what would the nurse expect to see - 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 - 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? - 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? - 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? - 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? - 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? - 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? - 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? - check urine specific gravity