ATI PN MED SURG // ATI Proctored Exam Medical Surgical Form A and B

ATI PN MED SURG // ATI Proctored Exam Medical Surgical Form A and B 1) A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic stroke. Which of the following is an appropriate nursing action? -Start the therapy within 8 hrs. -Insert an indwelling urinary catheter after therapy begins -Monitor blood pressure every 30 minutes during infusion. -Elevate the head of the bed between 25 and 30 degrees 2) A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? -Place hands on the upper abdomen during inhalation. -Exhale slowly through pursed lips. -Hold breath about 3 to 5 seconds before exhaling. -Position the mouthpiece 2.5 cm (1 in) from the mouth. 3) A nurse is assessing a client who is 12 hr. postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? -Heart rate 90/mm -Hgb 8.2 g/dL -Gastric ph of 3.0 -Absent bowel sounds 4) A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? -Regular Insulin -Furosemide -Desmopressin -Lithium Carbonate