ATI Med Surg GRADE A+ CORRECT
SOLUTIONS
A nurse is assessing a group of clients for indications of role
changes. The nurse should identify that which of the following
clients is at risk for experiencing a role change?
A client who has multiple sclerosis and is experiencing progressive
difficulty ambulating.
A nurse is providing follow-up care for a client who sustained a
compound fracture 3 weeks ago. The nurse should recognize that an
unexpected finding for which of the following laboratory values is a
manifestation of osteomyelitis and should be reported to the provider?
Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the
diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, two actions the nurse should
take to address that condition, and two parameters the nurse should
monitor to assess the client's progress.
- Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid
challenge because the client is most likely experiencing hypovolemia
as evidenced by the client's restlessness, tachycardia, hypotension,
decreased pulses, cool extremities, and decreased urine output. The
nurse should monitor the client's urine output and blood pressure to
evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical
cancer and is scheduled for brachytherapy. Which of the following
instructions should the nurse include?
"You will need to stay still in the bed during each treatment
session."
A nurse is caring for a client who is receiving dialysis treatment.
For each potential nursing intervention, click to specify if the
intervention is indicated or not indicated.
Indicated:
- Place the client in Trendelenburg position.
, - Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The
nurse should place the priority on which of the following findings?
Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a
total hip arthroplasty. Which of the following actions should the
nurse take?
Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as
an herbal supplement. Which of the following statements should the
nurse make?
"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is
scheduled for an open cholecystectomy. Which of the following actions
should the nurse take?
Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is
receiving palliative care. The client has just undergone
thoracentesis. The nurse should expect a reduction in which of the
following common manifestations of advanced cancer?
Dyspnea
A nurse is assessing a client while suctioning the client's
tracheostomy tube. Which of the following findings should indicate to
the nurse the client is experiencing hypoxia?
The client's heart rate increases.
A nurse in the emergency department is caring for a client. Drag 1
condition and 1 client finding to fill in each blank in the following
sentence.
The client is experiencing manifestations of PANCREATITIS as
evidenced by the AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's
priority?
Temperature 38.9° C (102° F)
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?
SOLUTIONS
A nurse is assessing a group of clients for indications of role
changes. The nurse should identify that which of the following
clients is at risk for experiencing a role change?
A client who has multiple sclerosis and is experiencing progressive
difficulty ambulating.
A nurse is providing follow-up care for a client who sustained a
compound fracture 3 weeks ago. The nurse should recognize that an
unexpected finding for which of the following laboratory values is a
manifestation of osteomyelitis and should be reported to the provider?
Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the
diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, two actions the nurse should
take to address that condition, and two parameters the nurse should
monitor to assess the client's progress.
- Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid
challenge because the client is most likely experiencing hypovolemia
as evidenced by the client's restlessness, tachycardia, hypotension,
decreased pulses, cool extremities, and decreased urine output. The
nurse should monitor the client's urine output and blood pressure to
evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical
cancer and is scheduled for brachytherapy. Which of the following
instructions should the nurse include?
"You will need to stay still in the bed during each treatment
session."
A nurse is caring for a client who is receiving dialysis treatment.
For each potential nursing intervention, click to specify if the
intervention is indicated or not indicated.
Indicated:
- Place the client in Trendelenburg position.
, - Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The
nurse should place the priority on which of the following findings?
Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a
total hip arthroplasty. Which of the following actions should the
nurse take?
Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as
an herbal supplement. Which of the following statements should the
nurse make?
"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is
scheduled for an open cholecystectomy. Which of the following actions
should the nurse take?
Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is
receiving palliative care. The client has just undergone
thoracentesis. The nurse should expect a reduction in which of the
following common manifestations of advanced cancer?
Dyspnea
A nurse is assessing a client while suctioning the client's
tracheostomy tube. Which of the following findings should indicate to
the nurse the client is experiencing hypoxia?
The client's heart rate increases.
A nurse in the emergency department is caring for a client. Drag 1
condition and 1 client finding to fill in each blank in the following
sentence.
The client is experiencing manifestations of PANCREATITIS as
evidenced by the AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's
priority?
Temperature 38.9° C (102° F)
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?
