ATI RN Adult Medical Surgical Complete Study Guide Test.
Seizure precautions - CORRECT ANSWER Ensure client has IV access for seizure medication administration.
Postoperative lab values - CORRECT ANSWER Report Hgb level of 8 g/dL to provider as an indicator of postoperative hemorrhage or anemia.
ESWL procedure - CORRECT ANSWER Expect stone fragments in the urine after extracorporeal shock wave lithotripsy.
Airborne precautions - CORRECT 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 - CORRECT ANSWER Administer dextrose 10% in water until new TPN bag arrives to avoid drop in blood glucose level.
Levothyroxine interaction - CORRECT 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 - CORRECT ANSWER Instruct client to allow the machine to breathe for them to reduce anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - CORRECT ANSWER Identify orthostatic hypotension as an adverse effect of enalapril.
Delayed wound healing - CORRECT ANSWER Identify urine output of 25 mL/hr as a finding that contributes to delayed wound healing. Hypothyroidism and opioid analgesic - CORRECT ANSWER Instruct client to void every 4 hours to decrease the risk of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - CORRECT ANSWER Obtain vital signs first when caring for a client who is vomiting blood mixed with food after a meal, as this indicates a potential rupture of esophageal varices.
Gastrectomy postoperative instructions - CORRECT ANSWER Instruct client to avoid drinking fluids with meals, eat several small meals per day, consume high-protein snacks, and avoid highly seasoned foods.
Cushing's triad - CORRECT ANSWER Identify bradycardia as a component of Cushing's triad in a client with increased intracranial pressure from a traumatic brain injury.
Client coping with diabetes diagnosis - CORRECT ANSWER Recognize the client's change in behavior of inspecting feet daily as an indication of successful coping with the diagnosis.
Inguinal hernia assessment - CORRECT ANSWER Palpate location C to verify the presence of an inguinal hernia.
Rattlesnake bite treatment - CORRECT ANSWER Expect a prescription for an opioid analgesic to promote comfort following a rattlesnake bite.
Hemodialysis treatment - CORRECT ANSWER Perform a 12-lead ECG, place the client in Trendelenburg position, administer a 0.9% sodium chloride 200 mL IV bolus, apply oxygen at 2 L/min via nasal cannula, and notify the provider immediately.
Client rights - CORRECT ANSWER Ensure a client signs informed consent before receiving a placebo during a research trial.
Omeprazole action - CORRECT ANSWER Instruct the client that omeprazole provides relief by suppressing gastric acid production.
Seizure precautions - CORRECT ANSWER Ensure client has IV access for seizure medication administration.
Postoperative lab values - CORRECT ANSWER Report Hgb level of 8 g/dL to provider as an indicator of postoperative hemorrhage or anemia.
ESWL procedure - CORRECT ANSWER Expect stone fragments in the urine after extracorporeal shock wave lithotripsy.
Airborne precautions - CORRECT 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 - CORRECT ANSWER Administer dextrose 10% in water until new TPN bag arrives to avoid drop in blood glucose level.
Levothyroxine interaction - CORRECT 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 - CORRECT ANSWER Instruct client to allow the machine to breathe for them to reduce anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - CORRECT ANSWER Identify orthostatic hypotension as an adverse effect of enalapril.
Delayed wound healing - CORRECT ANSWER Identify urine output of 25 mL/hr as a finding that contributes to delayed wound healing. Hypothyroidism and opioid analgesic - CORRECT ANSWER Instruct client to void every 4 hours to decrease the risk of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - CORRECT ANSWER Obtain vital signs first when caring for a client who is vomiting blood mixed with food after a meal, as this indicates a potential rupture of esophageal varices.
Gastrectomy postoperative instructions - CORRECT ANSWER Instruct client to avoid drinking fluids with meals, eat several small meals per day, consume high-protein snacks, and avoid highly seasoned foods.
Cushing's triad - CORRECT ANSWER Identify bradycardia as a component of Cushing's triad in a client with increased intracranial pressure from a traumatic brain injury.
Client coping with diabetes diagnosis - CORRECT ANSWER Recognize the client's change in behavior of inspecting feet daily as an indication of successful coping with the diagnosis.
Inguinal hernia assessment - CORRECT ANSWER Palpate location C to verify the presence of an inguinal hernia.
Rattlesnake bite treatment - CORRECT ANSWER Expect a prescription for an opioid analgesic to promote comfort following a rattlesnake bite.
Hemodialysis treatment - CORRECT ANSWER Perform a 12-lead ECG, place the client in Trendelenburg position, administer a 0.9% sodium chloride 200 mL IV bolus, apply oxygen at 2 L/min via nasal cannula, and notify the provider immediately.
Client rights - CORRECT ANSWER Ensure a client signs informed consent before receiving a placebo during a research trial.
Omeprazole action - CORRECT ANSWER Instruct the client that omeprazole provides relief by suppressing gastric acid production.
