ATI Med Surg Proctored Exam 2 2024
verified A+ graded
RespiratorywAlkalosiswS/Sw-
wlethargywlightheadedness
confusionwtach
ycardia
dysrhythmiaswrelatedwtowhypokalemiawnaus
ea
vomitingwepig
astricwpain
numbnesswandwtinglingwofwthewextremitiesw
hyperventilationw(tachypnea)
AwnursewiswcontributingwtowthewplanwofwcarewforwanwolderwadultwclientwwhowiswatwriskwforwOst
eoporosis.wWhichwinterventionwshouldwthewnursewincludewtowpreventwbonewloss?w-
wEncouragewweightwbearingwexercisesw(suchwaswwalkingwbecausewitwcanwhelpwmaintainwbonew
masswbywreducingwbonewdemineralization,wthuswhelpingwtowpreventwosteoporosis.)
Awnursewiswcaringwforwawclientwwhowhaswmeningococalwpneumonia.wWhichwofwthewfollowingwpe
rsonalwprotectivewequipmentwshouldwthewnursewuse?w-
wMaskw(thiswdiseasewrequireswdropletwprecautions)
AwnursewiswreinforcingwteachingwwithwawclientwwhowiswtakingwinsulinwGlargine.wWhatwinformati
onwshouldwthewnursewincludewinwthewteaching?w-
wThiswtypewofwinsulinwshouldwbewgivenwatwthewsamewtimeweveryday.w(Itwiswreleasedwoverwaw24h
rwperiod)
Awhomewhealthwnursewiswreinforcingwteachingwwithwawclientwaboutwpreventingwcomplication
swofwperipheralwvascularwdisease.wWhatwstatementwbywthewclientwindicateswthatwtheywarewadh
eringwtowthewnurse'swinstructions?w-w"Iwdon'twcrosswmywlegswanymore".
Awnursewiswcaringwforwawclientwwhowhaswawmethicillin-
resistantwStaphlococcuswaureusw(MRSA)winfectionswinwawsurgicalwwound.wWhatwinformationwsh
ouldwthewnursewplanwtowsharewwithwvisitors?
-wVisitorswmustwdonwawgownw&wgloveswpriorwtowenteringwthewclient'swroom.
Awnursewiswreinforcingwteachingwwithwawclientwwhowhaswheartwfailurewandwawnewwprescriptionwfo
rwhydrochlorothiazide.wWhatwshouldwthewclientwreportwtowthewprovider?w-wOnsetwofwnausea
Awnursewiswreinforcingwdischargewteachingwwithwawclientwwhowhaswhearingwloss.wWhatwac
tionwshouldwthewnursewtakewwhenwcommunicatingwwithwthewclient?w-
wRephrasewclientwinstructionswwhenwnotwunderstood.
Awnursewiswcaringwforwawclientwwhowisw1wdaywpostwoperativewfollowingwawhipwarthroplasty.wTh
ewclientwiswexhibitingwhypotension,wtachycardia,w&wtacky-
nearly.wThewnursewshouldwrecognizewthesewfindingswaswwhatwcomplication?w-
wPulmonarywEmbolism
Awnursewiswmonitoringwawclientwwhowrecentlywhadwawcastwplacedwonwthewrightwlowerwextremit
ywforwawbonewfracture.wWhatwfindingwshouldwthewnursewrecognizewaswabnormal?w-
wLackwofwsensationwbetweenwthewfirstwandwsecondwtoes
, Awnursewreinforcingwteachingwwithwawclientwwhowhaswsystemicwlupuswerythematosusw(SLE)wa
ndwiswtowbeginwtakingwmethylprednisoloneworally.wWhatwshouldwthewnursewincludewinwthewteac
hing?w-wLimitwcontactwwithwlargewgroupswofwpeople
Awnursewiswcaringwforwawclientwwhowisw24hrwpostoperativewfollowingwabdominalwsurgeryw&wh
aswanwNGwtube.wWhatwactionwshouldwthewnursewplanwtowtakewtowdecreasewthewriskwofwpostope
rativewcomplications?w-
wEncouragewthewclientwtowusewanwincentivewspirometerweverywhourwwhilewawake
Awnursewiswcollectingwdatawfromwawclientwwhowhaswchronicwkidneywdiseasewwithwhyperkalemi
a.wWhatwfindingwshouldwthewnursewexpectwrelatedwtowhyperkalemia?w-wBradycardia
Awnursewiswassistingwinwthewcarewofwawclientwwhowhaswmanifestationswofwsepsis.wWhatwproviderw
prescriptionswshouldwthewnursewimplementwfirst?w-
wInitiatewoxygenwatw4wL/minwviawnasalwcannula
Awnursewiswcaringwforwawclientwwhowhaswterminalwpancreaticwcancer.wThewclientwstates,w"Iwdo
n'twthinkwIwcanwgowonwanywlonger."wWhatwresponsewshouldwthewnursewmake?w-
w"Tellwmewmorewaboutwthewwayw youwarewfeeling."
Awnursewiswcollectingwdatawfromwawclientwwhowhaswhypokalemia.wWhatwfindingwshouldwthewnur
sewidentifywaswthewpriority? w-wDysrhythmia
AwnursewiswcaringwforwawclientwwhowiswinwBuck'swtraction.wWhatwinterventionwshouldwthewnursew
performwtowreducewskinwbreakdown?w-wKeepwthewskinwdrywandwfreewofwperspiration
Awnursewiswcontributingwtowthewplanwofwcarewforwawclientwwhowhaswawmethicillin-
resistantwStaphylococcuswaureusw(MRSA)winfectionswandwiswonwcontractwisolationwprecaution
s.wWhatwactionwshouldwthewnursewtake?w-
wHavewawdesignatedwstethoscopewinwthewclient'swroom
AwnursewenterswthewroomwofwawclientwwhosewtransfusionwofwpackedwRBCswwaswinitiatedw15w
minwagowbywthewRN.wThewclientwreportswdyspneawandwurticaria.wWhatwactionwshouldwthewnur
sewperformwfirst?w-wStopwthewinfusion
Awnursewiswpreparingwtowauscultatewthewbowelwsoundswofwawclientwwhowhaswawmechanicalwbo
welwobstructionwinwthewdescendingwcolon.wWhenwlisteningwinwthewleftwupperwquadrant,wthewn
ursewshouldwidentifywthiswsoundwaswwhat?w-wHyperactivewbowelwsounds
Awnursewiswpreparingwtowadministerwfurosemidewtowawclientwwhowhaswheartwfailure.wWhatwsho
uldwthewnursewreportwbeforewadministeringwthewmedication?w-wDecreasedwpotassium
Awnursewiswreinforcingwteachingwaboutwjointwprotectionwwithwawclientwwhowhaswanwacutewexac
erbationwofwrheumatoidwarthritis.wWhatwinformationwshouldwthewnursewincludewinwthewteachin
g?w-wApplywcoldwpackswtowthewjoints
Awnursewiswcollectingwdatawfromwawclientwwhowhaswhypothyroidism.wWhatwmanifestationwshoul
dwthewnursewexpect?w-wBradycardia
Awnursewiswreinforcingwteachingwwithwanwolderwadultwclientwwhowhaswosteoporosis.wWhatwins
tructionswshouldwthewnursewincludewinwthewteaching?w-
wTakewthewcalciumwsupplementswwithwmeals
verified A+ graded
RespiratorywAlkalosiswS/Sw-
wlethargywlightheadedness
confusionwtach
ycardia
dysrhythmiaswrelatedwtowhypokalemiawnaus
ea
vomitingwepig
astricwpain
numbnesswandwtinglingwofwthewextremitiesw
hyperventilationw(tachypnea)
AwnursewiswcontributingwtowthewplanwofwcarewforwanwolderwadultwclientwwhowiswatwriskwforwOst
eoporosis.wWhichwinterventionwshouldwthewnursewincludewtowpreventwbonewloss?w-
wEncouragewweightwbearingwexercisesw(suchwaswwalkingwbecausewitwcanwhelpwmaintainwbonew
masswbywreducingwbonewdemineralization,wthuswhelpingwtowpreventwosteoporosis.)
Awnursewiswcaringwforwawclientwwhowhaswmeningococalwpneumonia.wWhichwofwthewfollowingwpe
rsonalwprotectivewequipmentwshouldwthewnursewuse?w-
wMaskw(thiswdiseasewrequireswdropletwprecautions)
AwnursewiswreinforcingwteachingwwithwawclientwwhowiswtakingwinsulinwGlargine.wWhatwinformati
onwshouldwthewnursewincludewinwthewteaching?w-
wThiswtypewofwinsulinwshouldwbewgivenwatwthewsamewtimeweveryday.w(Itwiswreleasedwoverwaw24h
rwperiod)
Awhomewhealthwnursewiswreinforcingwteachingwwithwawclientwaboutwpreventingwcomplication
swofwperipheralwvascularwdisease.wWhatwstatementwbywthewclientwindicateswthatwtheywarewadh
eringwtowthewnurse'swinstructions?w-w"Iwdon'twcrosswmywlegswanymore".
Awnursewiswcaringwforwawclientwwhowhaswawmethicillin-
resistantwStaphlococcuswaureusw(MRSA)winfectionswinwawsurgicalwwound.wWhatwinformationwsh
ouldwthewnursewplanwtowsharewwithwvisitors?
-wVisitorswmustwdonwawgownw&wgloveswpriorwtowenteringwthewclient'swroom.
Awnursewiswreinforcingwteachingwwithwawclientwwhowhaswheartwfailurewandwawnewwprescriptionwfo
rwhydrochlorothiazide.wWhatwshouldwthewclientwreportwtowthewprovider?w-wOnsetwofwnausea
Awnursewiswreinforcingwdischargewteachingwwithwawclientwwhowhaswhearingwloss.wWhatwac
tionwshouldwthewnursewtakewwhenwcommunicatingwwithwthewclient?w-
wRephrasewclientwinstructionswwhenwnotwunderstood.
Awnursewiswcaringwforwawclientwwhowisw1wdaywpostwoperativewfollowingwawhipwarthroplasty.wTh
ewclientwiswexhibitingwhypotension,wtachycardia,w&wtacky-
nearly.wThewnursewshouldwrecognizewthesewfindingswaswwhatwcomplication?w-
wPulmonarywEmbolism
Awnursewiswmonitoringwawclientwwhowrecentlywhadwawcastwplacedwonwthewrightwlowerwextremit
ywforwawbonewfracture.wWhatwfindingwshouldwthewnursewrecognizewaswabnormal?w-
wLackwofwsensationwbetweenwthewfirstwandwsecondwtoes
, Awnursewreinforcingwteachingwwithwawclientwwhowhaswsystemicwlupuswerythematosusw(SLE)wa
ndwiswtowbeginwtakingwmethylprednisoloneworally.wWhatwshouldwthewnursewincludewinwthewteac
hing?w-wLimitwcontactwwithwlargewgroupswofwpeople
Awnursewiswcaringwforwawclientwwhowisw24hrwpostoperativewfollowingwabdominalwsurgeryw&wh
aswanwNGwtube.wWhatwactionwshouldwthewnursewplanwtowtakewtowdecreasewthewriskwofwpostope
rativewcomplications?w-
wEncouragewthewclientwtowusewanwincentivewspirometerweverywhourwwhilewawake
Awnursewiswcollectingwdatawfromwawclientwwhowhaswchronicwkidneywdiseasewwithwhyperkalemi
a.wWhatwfindingwshouldwthewnursewexpectwrelatedwtowhyperkalemia?w-wBradycardia
Awnursewiswassistingwinwthewcarewofwawclientwwhowhaswmanifestationswofwsepsis.wWhatwproviderw
prescriptionswshouldwthewnursewimplementwfirst?w-
wInitiatewoxygenwatw4wL/minwviawnasalwcannula
Awnursewiswcaringwforwawclientwwhowhaswterminalwpancreaticwcancer.wThewclientwstates,w"Iwdo
n'twthinkwIwcanwgowonwanywlonger."wWhatwresponsewshouldwthewnursewmake?w-
w"Tellwmewmorewaboutwthewwayw youwarewfeeling."
Awnursewiswcollectingwdatawfromwawclientwwhowhaswhypokalemia.wWhatwfindingwshouldwthewnur
sewidentifywaswthewpriority? w-wDysrhythmia
AwnursewiswcaringwforwawclientwwhowiswinwBuck'swtraction.wWhatwinterventionwshouldwthewnursew
performwtowreducewskinwbreakdown?w-wKeepwthewskinwdrywandwfreewofwperspiration
Awnursewiswcontributingwtowthewplanwofwcarewforwawclientwwhowhaswawmethicillin-
resistantwStaphylococcuswaureusw(MRSA)winfectionswandwiswonwcontractwisolationwprecaution
s.wWhatwactionwshouldwthewnursewtake?w-
wHavewawdesignatedwstethoscopewinwthewclient'swroom
AwnursewenterswthewroomwofwawclientwwhosewtransfusionwofwpackedwRBCswwaswinitiatedw15w
minwagowbywthewRN.wThewclientwreportswdyspneawandwurticaria.wWhatwactionwshouldwthewnur
sewperformwfirst?w-wStopwthewinfusion
Awnursewiswpreparingwtowauscultatewthewbowelwsoundswofwawclientwwhowhaswawmechanicalwbo
welwobstructionwinwthewdescendingwcolon.wWhenwlisteningwinwthewleftwupperwquadrant,wthewn
ursewshouldwidentifywthiswsoundwaswwhat?w-wHyperactivewbowelwsounds
Awnursewiswpreparingwtowadministerwfurosemidewtowawclientwwhowhaswheartwfailure.wWhatwsho
uldwthewnursewreportwbeforewadministeringwthewmedication?w-wDecreasedwpotassium
Awnursewiswreinforcingwteachingwaboutwjointwprotectionwwithwawclientwwhowhaswanwacutewexac
erbationwofwrheumatoidwarthritis.wWhatwinformationwshouldwthewnursewincludewinwthewteachin
g?w-wApplywcoldwpackswtowthewjoints
Awnursewiswcollectingwdatawfromwawclientwwhowhaswhypothyroidism.wWhatwmanifestationwshoul
dwthewnursewexpect?w-wBradycardia
Awnursewiswreinforcingwteachingwwithwanwolderwadultwclientwwhowhaswosteoporosis.wWhatwins
tructionswshouldwthewnursewincludewinwthewteaching?w-
wTakewthewcalciumwsupplementswwithwmeals
