ATI RN Adult Medical Surgical 2023 exam with correct answers

Seizure precautions - ANSWER Ensure client has IV access for seizure medication administration. Postoperative lab values - ANSWER Report Hgb level of 8 g/dL to provider as an indicator of postoperative hemorrhage or anemia. ESWL procedure - ANSWER Expect stone fragments in the urine after extracorporeal shock wave lithotripsy. Airborne precautions - ANSWER Initiate airborne precautions for a client with anorexia, low-grade fever, night sweats, and productive cough, as these are manifestations of tuberculosis. TPN administration - ANSWER Administer dextrose 10% in water until new TPN bag arrives to avoid drop in blood glucose level. Levothyroxine interaction - ANSWER Instruct client to avoid taking calcium within 4 hr of levothyroxine administration, as calcium can interfere with the effectiveness of the medication. Mechanical ventilation anxiety - ANSWER Instruct client to allow the machine to breathe for them to reduce anxiety and restlessness associated with fighting the ventilator.