NGN ATI RN Adult Medical Surgical 2024 [UPDATED] FOR FORM A,B,C Questions and Answers.

NGN ATI RN Adult Medical Surgical 2024 [UPDATED] FOR FORM A,B,C Questions and Answers. FORM A A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ANSWEREnsure the client has a patient IV. RATIONALE: The nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - ANSWER- Hgb 8 g/dL RATIONALE: The nurse should report an Hgb level of 8 g/dL, which is below the expected reference range and is an indicator of postoperative hemorrhage or anemia. A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ANSWER- Stone fragments in the urine RATIONALE: ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the bladder, and through the urethra during voiding. Following the procedure, the nurse should strain the client's urine to confirm the passage of stones. A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first? - ANSWER- Initiate airborne precautions. RATIONALE: This client is exhibiting manifestations of tuberculosis. The greatest risk in this client situation is for other people in the facility to acquire an airborne disease from this client. Therefore, the first action the nurse should take is to initiate airborne precautions. 18/1/24, 2:31 PM ATI RN Adult Medical Surgical 2023 FOR NGN FORM A,B,C about:blank 2/59 A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ANSWER- Administer dextrose 10% in water until the new bag arrives. RATIONALE: TPN solutions have a high concentration of dextrose. Therefore, if a TPN solution is temporarily unavailable, the nurse should administer dextrose 10% or 20% in water to avoid a precipitous drop in the client's blood glucose level. A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? - ANSWERCalcium RATIONALE: Calcium limits the development of osteoporosis in clients who are postmenopausal and works as an antacid. Calcium supplements can interfere with the metabolism of a number of medications, including levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr of levothyroxine administration. A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? - ANSWERInstruct the client to allow the machine to breathe for them. RATIONALE: When providing client care, the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should take is to provide verbal instructions and emotional support to help the client relax and allow the ventilator to work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator." A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following findings as an adverse effect of the medication? - ANSWER- Orthostatic hypotension RATIONALE: The nurse should identify that dilation of arteries and veins causes orthostatic hypotension, which is an adverse effect of enalapril. 18/1/24, 2:31 PM ATI RN Adult Medical Surgical 2023 FOR NGN FORM A,B,C about:blank 3/59 A nurse is caring for a client who has a stage III pressure injury. Which of the following findings contributes to delayed wound healing? - ANSWERUrine output 25 mL/hr RATIONALE: Urinary output reflects fluid status. Inadequate urine output can indicate dehydration, which can delay wound healing.