ATI RN Adult Medical Surgical Practice with NGN

ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
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1. A nurse is assessing a client who has acute cholecystitis. Which of thefo
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llowing findings is the nurse's priority?
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Anorexia

Abdominal pain radiating to the right shoulderTachycar g g g g g g g




dia

Rebound abdominal tenderness: Tachycardia g g g


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Tachycardia is a manifestation of biliary colic, which can lead to shock. The nurseshou
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d position the head of the client's bed flat and report this finding immediately
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2. A nurse is caring for a client who is undergoing hemodialysis to treat
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end-stage kidney disease (ESKD). The client reports muscle cramps and tin-
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ggling sensation in their hands. Which of the following medications should thenu
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rse plan to administer?
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Epoetin alfa g g




Furosemide g




Captopril

Calcium carbonate: Calcium carbonate g g g


3. A nurse is providing teaching to a client who is receiving chemotherapya
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nd has a new prescription for epoetin alfa. Which of the following client stat
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ements indicates an understanding of the teaching?
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"I will monitor my blood pressure while taking this medication"
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"I should take a vitamin D supplement to increase the effectiveness of themedi
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ation."

"I should inform the provider if I experience an increased appetite while takingth
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is medication"
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"I will decrease the amount of protein in my diet while taking this medication."-
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: "I will monitor my blood pressure while taking this medication"
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-monitor their blood pressure while taking this medication because hypertension is
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1g/g92

, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
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a common adverse effect and can lead to hypertensive encephalopathy.
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Rationale
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client requires an adequate intake of iron, folic acid, and vitamin B12 while takingthis
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medication because they are essential to the production of erythrocytes.
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-increase the amount of protein in their diet while receiving chemotherapy to de-
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crease the risk for infection.
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4. The nurse is caring for a group of clients. The nurse should plan to make aref
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erral to physical therapy for which of the following clients?
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-A client who is receiving preoperative teaching for a right knee arthroplasty.
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-A client who states they will have difficulty obtaining a walker for home use.
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-A client who reports an increase in pain following a left hip arthroplasty.
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-A client who is having emotional difficulty accepting that they have a pros-
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thetic leg.: A client who is receiving preoperative teaching for a right knee arthro-
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plasty.
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should make a referral to physical therapy for a client who is receiving preoperativetea
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ching for a knee arthroplasty so the client can begin understanding postoperativeexerc
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ises and physical restrictions.
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Rationale
-should make a referral to a social worker for walker
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should contact the provider for a client who is experiencing increased pain followinga le
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ft hip arthroplasty.
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should refer the client to a counselor to assist with coping with the adjustment tothe
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need of a prosthetic leg.
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5. A nurse is providing teaching to a female client who has a history of urinarytr
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act infections (UTIs). Which of the following information should the nurse inclu
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de in the teaching?
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2g/g92

, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
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Avoid foods that are high in ascorbic acid.
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Add oatmeal to the water when taking a tub bath.
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3g/g92

, ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN
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Urinate every 6 hr. g g g




Take daily cranberry supplements.: Take daily cranberry supplements
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-.take cranberry supplements or drink low-fructose cranberry juice because it con-
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tains compounds that adhere to the urinary tract wall, decreasing the risk for develop
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ing a UTI g g




Rationale
-risk for developing UTIs should urinate every 2 to 4 hr.
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take showers rather than tub baths because bacteria in the bath water can enterthe ur
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ethra.
-increase intake of ascorbic acid to acidify the urine.g g g g g g g g


6. A nurse is providing instructions to a client who has type 2 diabetes mellitusan
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d a new prescription for metformin. Which of the following statements by the cl
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ient indicates an understanding of the teaching?
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"I will monitor my blood sugar carefully because the medication increases thes
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ecretion of insulin." g g




"I should take this medication with a meal."
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"I can expect to gain weight while taking this medication."
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"While taking this medication, I will experience flushing of my skin.": "I shouldta
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ke this medication with a meal."
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take metformin with or immediately following meals to improve absorption and tomi
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nimize gastrointestinal distress. g g




Rationale
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Metformin decreases the amount of glucose produced in the liver and increasestissue
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sensitivity to insulin g g




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Typically, clients lose weight when beginning to take metformin due to nausea andvo
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miting.
7. A nurse is caring for a client who is receiving total parenteral nutrition (TPN).A
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4g/g92