ATI RN ADULT MED SURG ONLINE PRACTICE 2019 A WITH NGN (A+ RATED SOLUTIONS)

ATI RN ADULT MED SURG ONLINE PRACTICE 2019 A WITH NGN (A+ RATED SOLUTIONS) 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. A nurse is caring for a client who was just admitted from the emergency department (ED). 0945: Client is experiencing a sickle cell crisis. 1200: Client is sitting up in high-Fowler's position and appears anxious. Client reports shortness of breath and severe chest pain as 9 on a scale of 0 to 10. Client states that they have started coughing and are expectorating pink-tinged mucus. Lung sounds with increased wheezing in left lung and clear on the right side. Equal chest expansion noted. The client is most likely experiencing Acute chest syndrome and pneumonia. 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 assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? Tachycardia