PN ATI MED SURG EXAM WITH 100% CORRECT ANSWER (VERIFIED ANSWERS) | LATEST UPDATE | ALREADY GRADED A+ A nurse is assisting in the care of a client who is hypovolemic shock. While waiting for a unit of blood, the nurse should plan to administer which of the following IV solutions? ANSWER: 0.9% sodium chloride A nurse is caring for a client who has advanced heart failure Which of the following actions should the nurse take? ANSWER: Enforce fluid restrictions A nurse is collecting data from a client who has abdominal aortic aneurysm. Which of the following manifestations should the nurse expect? ANSWER: Lower back discomfort A nurse is contributing to the plan of care for a client who has pernicious anemia.Which of the following interventions should the nurse recommend? ANSWER: Initiate weekly injections of vitamin B12 A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following information should the nurse include in the teaching? ANSWER: "Avoid lifting both arms above your head when dressing." A nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin Alfa. Which of the following information should the nurse include in the teaching? ANSWER: Hypertension is a common adverse effect of this medication A nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins. Which of the following actions should the nurse take? ANSWER: Position the client supine with his legs elevated when in bed A nurse is assisting in the care of a client who has an abdominal aortic aneurysm and is scheduled for surgery. The client's vital signs are BP 160/98, HR 102, R -22, SpO2 95%. Which of the following actions should the nurse take? ANSWER: Administer antihypertensive medication for blood pressure A nurse in a clinic is collecting data from a client who has a history of peripheral arterial disease. Which of the following findings on the client's lower extremities should the nurse expect? ANSWER: Cool, pale skin with minimal body hair A nurse is collecting data from a client who has manifestation of aplastic anemia. Which of the following findings should the nurse expect? ANSWER: Petechiae and ecchymosis A nurse is administering a loop diuretic to a client who has 3+ pitting edema in the lower extremities. Which of the following actions should the nurse take? ANSWER: Monitor the client for ototoxicity A nurse is assisting in developing the plan of care for an older adult client who is to receive a unto of packed RBCs. Which of the following action should the nurse recommend? ANSWER: Verify the information on the packed RBCs with another nurse A nurse is caring for a client who has late stage heart failure and is experiencing fluid volume overload. Which of the following findings should the nurse expect? ANSWER: Weight gain of 1 kg (2.2 lb) in 1 day A nurse is assisting in the preparation of a unit of packed RBCs for a client who has anemia. Which of the following actions should the nurse take first? ANSWER: Witness the informed consent A nurse is collecting data from a client who has fluid volume overload resulting from a cardiovascular disorder. Which of the following manifestations should the nurse expect? ANSWER: Jugular vein dissent ion, moist crackles, increases heart rate A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh frozen plasma. Which of the following laboratory test should the nurse review? ANSWER: Prothrombin time A nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an injury. Which of the following actions should the nurse take? ANSWER: Prepare for replacement of the missing clotting factor A nurse is assisting in collecting data from a client who has a history of unstable angina. Which of the following findings should the nurse expect? ANSWER: The client reports chest pain when at rest A nurse is reinforcing teaching about lifestyle changes with a client who had a MI and has a new prescription for a beta blocker. Which of the following client statements indicates an understanding of the teaching? ANSWER: Before taking my medication, I will check my blood pressure and radial pulse rate A nurse is collecting data from a client who has right sided heart failure. Which of the following findings should the nurse expect? ANSWER: Dependent edema