ATI RN Proctored Adult Medical-Surgical Form A 2022

Nurse is preparing to administer thrombolytic therapy to a client with ischemic stroke. Which is an appropriate nursing action Elevate HOB btw 25-30 degrees Nurse is teaching about the use of incentive spirometer. Which if the following instructions should the nurse include in the teaching Hold breaths about 30 seconds before exhaling Nurse is assessing a client who is 12 hours post op following a colon resection. Which of the following findings should the nurse report to the surgeon Absent breath sounds Nurse is caring for a client who has diabetes insipidus/ Which of the following meds should the nurse plan to administer Desmopressin Nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times for 3 years. Which of the following test should the nurse monitor Stool for occult blood A nurse in the ED is assessing a client. Which of the following actions should the nurse take first Initiate airborne percautions A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough pain. Which of the following prescriptions should the nurse anticipate Fentanyl Nurse is admitting a client who reports CP and has been placed on a telemetry monitor. Which of the following should the nurse analyse to determine whether the client is experiencing a MI ST segment Nurse us teaching a client who has ovarian CA about skin care following radiation treatment. Which of the should the nurse include. Pat the skin on the radiation site to dry it A nurse is caring for a client receiving blood transfusion. Nurse observes client has bounding peripheral pulse, HTN, distended jugular veins. The nurse should anticipate which of the following meds Furosemide A nurse is assessing a client who is getting magnesium sulfate IV for tc of hypomagnesmia. Which of the following indicates effectiveness Apical Pulse 82 Lumbar puncture positioning: Cannonball position while on one side orby having the client stretch over an overbid is sitting (This is a picture, choose the answer that is described. C ?? maybe?? A nurse is reviewing ABG results: pH 7.42, PaCO2: 30; HCO3 21. Indication for which of the following conditions Uncompensated respiratory acidosis Nurse is caring for a client who is experiencing sz secondary to meningitis. What should be included in the plan of care? SATA Have suction at bedside Dim overhead lights Nurse is caring for pt who has a pressure ulcer with necrotic tissue and requires wet- to- damp dressing. Which of the following types of debridement should the nurse include in the plan of care Mechanical Nurse is caring for a female with toxic shock. Which finding should nurse expect General rah Nurse is preparing to administer a med for a client through a non-tunneled percutaneous central catheter. Which of the following actions should the nurse take? Flush catheter with 10 ml of NS Nurse is caring for a pt admitted with nausea, vomit and possible bowel obstruction. NG tube is placed and set to low intermittent suction. Which of the following findings should the nurse report distended and firm Nurse is reviewing the MAR of a pt with DI. Which of the following should the nurse expect Urine specific gravity 1.001 Nurse is caring for a pt who has hyperthyroidism and develops thyroid storm. Which of the following instructions shlould the nurse give to the client regarding management of thyroid storm. You will need a cooling blanket to lower your body temp