ATI RN ADULT MED SURG 2019 ALL VERSIONS WITH NGN (A+ RATED SOLUTIONS)
ATI RN ADULT MED SURG 2019 ALL VERSIONS WITH NGN (A+ RATED SOLUTIONS) A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? Tachycardia 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? Ensure the client has a patent IV. A nurse is ass4ess9ing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? Check that one finger fits between the cast and the leg. A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? Apply firm pressure to the insertion site A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? Upper groin 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? Initiate airborne precautions. A nurse is caring for a client who has a stage 111 pressure injury. Which of the following findings contributes to delayed wound healing? Urine output 25 mL/hr 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? Instruct the client to allow the machine to breathe for them. A nurse is caring for a client who has hepatic encephalopathy that is being treated withy lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? Hypokalemia A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? Heart rate 110/min A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? Calcium A nurse is assessing a client who has Graces' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? Eyes bulging out of head.
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