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Exam (elaborations)

ATI Proctored Exam Medical Surgical Latest 2023/2024 well given solutions

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ATI Proctored Exam Medical Surgical Latest 2023/2024 well given solutions 9. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which of the following instructions should the nurse include? -Apply over the counter moisturizer to the radiation site -Cover the radiation site loosely with a gauze wrap before dressing -Use a soft washcloth to clean the area around the radiation site -Pat the skin on the radiation site to dry it. (Book page 390) Skin Protection During Radiation Therapy • Wash the irradiated area gently each day with either water or a mild soap and water as prescribed by your radiation therapy team. • Use your hand rather than a washcloth when cleansing the therapy site to be gentler. • Rinse soap thoroughly from your skin. • If ink or dye markings are present to identify exactly where the beam of radiation is to be focused, take care not to remove them. • Dry the irradiated area with patting rather than rubbing motions; use a clean, soft towel or cloth. • Use only powders, ointments, lotions, or creams that are prescribed by the radiation oncology department on your skin at the radiation site. • Wear soft clothing over the skin at the radiation site. • Avoid wearing belts, buckles, straps, or any type of clothing that binds or rubs the skin at the radiation site. • Avoid exposure of the irradiated area to the sun: • Protect this area by wearing clothing over it. • Try to go outdoors in the early morning or evening to avoid the more intense sun rays. • When outdoors, stay under awnings, umbrellas, and other forms of shade during the times when the sun's rays are most intense (10 AM to 7 PM). • Avoid heat exposure. 10. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications? Acetaminophen -Furosemide (this patient has fluid overload from the transfusion) Diphenhydramine Pantoprazole 11. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of hypomagnesemia. Which of the following findings indicates effectiveness of the medication? -Lungs clear -Hypoactive bowel sounds- Reduced motility, anorexia, nausea, constipation, and abdominal distention are common. A paralytic ileus may occur when hypomagnesemia is severe. -Blood pressure 90/50 mm Hg-hypomagnesemia causes hypertension, but this is too low, abnormal -Apical pulse 82/min One aspect of the conduction problems is that, when serum magnesium levels are low, intracellular potassium levels are also low. This changes the resting membrane potential in cardiac muscle cells, slowing normal conduction and triggering ectopic beats. 12. A nurse is preparing a client for a lumbar puncture. Which of the following images indicates the position the nurse should assist the client into for this procedure? - “Cannonball position on the side” picture #4 (ATI page 20)

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ATI Medical Surgical

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