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ATI med surg Questions and answers, Rated. 2022 UPDATE

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Nurse is preparing to administer thrombolytic therapy to a client with ischemic stroke. which 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 - • Elevate HOB between 25-30 degrees Nurse is teaching 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. - • Holds breaths about 3-5 seconds before exhaling Nurse is assessing a client who is 12 hr post op 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 - -Hgb 8.2 g/dL

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ATI Med Surg Proctored, questions and
answers, Graded A+


A nurse is caring for a client who is receiving chemotherapy and requests information about
acupuncture to relieve some of the side effects. which of the following findings should the nurse identify
as a contraindication to receiving this alternative therapy? - ✔✔Lymphedema



A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200 ml/hr. The IV tubing
has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to administer? -
✔✔33



A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the teaching? -
✔✔I should lie down when I take this medication



A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. Which of
the following instructions should the nurse include in the teaching. - ✔✔Install a raised toilet seat in
your bathroom



A nurse is planning care for a client following a cardiac catheterization. which of the following actions
should the nurse take. - ✔✔Maintain the client's affected extremity in extension



A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. which of
the following client statements indicates that the client is adapting to their role change? - ✔✔I will need
to have my partner take over shopping for groceries and cooking the meals for us



A nurse is providing teaching to a client who has an impaired immune system due to chemotherapy.
which of the following information should the nurse include in the teaching? - ✔✔Change your pet's
litter box daily

, a nurse is caring for a client who has a contusion and reports thirst. The client's urinary output was 4,000
ml over past 24 hr. the nurse should anticipate a prescription for which of the following IV medications?
- ✔✔Desmopressin



A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor
and reports nagging dry cough. Which of the following responses by the

nurse is appropriate? - ✔✔Sucking on a lozenge may reduce the frequency of your cough



A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the
following assessment findings should the nurse identify as a parenteral trigger for exacerbation of
Raynaud's? - ✔✔Using nicotine transdermal patch



A nurse is caring for a client who has a central venous device and notes the tubing has become
disconnected. the client develops dyspnea and tachycardia. Which of the following actions should the
nurse take first? - ✔✔



A nurse is completing an assessment of an older client and notes reddened areas over the bony
prominences, but the client's skin is intact. which of the following interventions should the nurse include
in the plan of care? - ✔✔Support bony prominences with pillows



A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the
following actions is the priority for the nurse to take? - ✔✔



A nurse in the emergency department is assessing a client. which of the following actions should the
nurse take first? (click on rhe "exhibit" button for additional information about the client - ✔✔Initiate
airborne precautions



A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The nurse
should identify which of the following findings as increasing the client's risk? - ✔✔Historyof Crohn's
disease



A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm not sure I
want to have a mastectomy." Which of the following statements should the nurse make? - ✔✔I can give
you additional information about the procedure

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