Med-Surg ATI Capstone Practice Questions And Answers (Answered 2022) All Correct

Med-Surg ATI Capstone Practice Questions And Answers (Answered 2022) All Correct a nurse is caring for a client who is having surgery for the removal of an encapsulated acoustic tumor. Which of the following potential complications should the nurse monitor for postoperatively? (select all that apply.) a. increased intracranial pressure B. Hemorrhagic shock C. Hydrocephalus D. Hypoglycemia E. seizures a. CORRECT: a client who has had a craniotomy should be monitored postoperatively for increased iCP. C. CORRECT: Following a craniotomy, the client should be monitored for the development of hydrocephalus E. CORRECT: seizures is a postoperative complication that should be monitored following a craniotomy. a nurse is caring for a client who has just undergone a craniotomy for a supratentorial tumor. Which of the following postoperative prescriptions should the nurse clarify with the provider? a. Dexamethasone 30 mg iV bolus BiD B. morphine sulfate 2 mg iV bolus Prn every 2 hr for pain C. ondansetron 4 mg iV bolus Prn every 4 to 6 hr for nausea D. Phenytoin 100 mg iV bolus TiD B. CORRECT: narcotic analgesics should be avoided postoperatively due to their Cns depressant effects. a nurse is completing an assessment of a client who has increased intracranial pressure (iCP). Which of the following are expected findings? (select all that apply.) a. Disoriented to time and place B. restlessness and irritability C. unequal pupils D. iCP 15 mm Hg E. Headache a. CORRECT: Changes in level of consciousness are an early indicator of increased iCP. B. CORRECT: increased iCP can cause behavior changes, such as restlessness and irritability. C. CORRECT: unequal pupils indicates pressure on the oculomotor nerve secondary to increased iCP. E. CORRECT: a headache is a manifestation of increased iCP. a nurse is reviewing a prescription for dexamethasone with a client who has an expanding brain tumor. Which of the following are appropriate statements by the nurse? (select all that apply.) a. "it is given to reduce swelling of the brain." B. "You will need to monitor for low blood sugar." C."You may notice weight gain." D."Tumor growth will be delayed." E. "it can cause you to retain fluids." a. CORRECT: Dexamethasone is a common steroid prescribed to reduce cerebral edema. C. CORRECT: Weight gain is an adverse effect of dexamethasone. E. CORRECT: Fluid retention is an adverse effect of dexamethasone. a nurse is caring for a client who has a benign brain tumor. The client asks the nurse if he can expect this same type of tumor to occur in other areas of his body. Which of the following is an appropriate response by the nurse? a. "it can spread to breasts and kidneys." B. "it can develop in your gastrointestinal tract." C."it is limited to brain tissue." D."it probably started in another area of your body and spread to your brain." C. CORRECT: Benign brain tumors develop from the meninges or cranial nerves and do not metastasize. a nurse is reviewing the health record of a client who has a malignant brain tumor and notes the client has a positive romberg sign. Which of the following actions should the nurse take to assess for this sign? a. stroke the lateral aspect of the sole of the foot. B. ask the client to blink his eyes. C. observe for facial drooping. D. Have the client stand erect with eyes closed. D. CORRECT: a positive romberg sign is indicated when a client loses his balance while attempting to stand erect with his eyes closed. a nurse in a clinic is caring for a client who has suspected anemia. Which of the following laboratory test results should the nurse expect? a. iron 90 mcg/dl B. rBc 6.5 million/ul c. WBc 4,800 mm3 D. Hgb 10 g/dl D. CORRECT: Hgb of 10 g/dl is below the expected reference range and is an expected finding of anemia. a nurse is caring for a client who is receiving warfarin for anticoagulation therapy. Which of the following laboratory test results indicates to the nurse that the client needs an increase in the dosage? a. aPtt 38 seconds B. inr 1.1 c. Pt 22 seconds D. D‐dimer negative B. CORRECT: inr of 1.1 is within the expected reference range for a client who is not receiving warfarin. However, this value is subtherapeutic for anticoagulation therapy. the