ATI RN Adult Medical Surgical 2024 Exam with Question And Correct Answers. 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-

ATI RN Adult Medical Surgical 2024 Exam with Question And Correct Answers. 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. Physical therapy referral - correct answer-Refer a client who is receiving preoperative teaching for a right knee arthroplasty to physical therapy to begin understanding postoperative exercises and physical restrictions. Droplet precautions - correct answer-Instruct an assistive personnel (AP) to wear a mask when coming within 3 ft of a client who has bacterial meningitis. Stress incontinence and weight loss - correct answer-Recommend weight loss to reduce excess abdominal pressure and mitigate the risk of stress incontinence. Hypokalemia and bowel sounds - correct answer-Expect hypoactive bowel sounds in a client with hypokalemia. Diagnostic results follow-up - correct answer-Follow up on PCO2 level, WBC count, chest X-ray, and oxygen saturation level. Neurological event follow-up - correct answer-Follow up on visual disturbances, tingling of the lips, hand grasps, and expressive aphasia. Testicular self-examination - correct answer-Instruct the client to roll each testicle between the thumb and fingers to feel for any lumps deep in the center of the testicle. Hyperthyroidism assessment - correct answer-Report blood pressure of 170/80 mm Hg to the provider as a priority finding. Muscle cramps and tingling sensation - correct answer-Administer calcium carbonate to a client experiencing muscle cramps and tingling sensation in the hands. Seizure intervention - correct answer-Turn the client to the side during a seizure to prevent aspiration. Medication to withhold prior to cardioversion - correct answer-Instruct the client to withhold digoxin for 48 hr prior to cardioversion. Sildenafil and nitroglycerin - correct answer-Inform the client that they cannot use sildenafil if they are taking nitroglycerin due to the risk of significant hypotension.