ATI PN Adult med surg (Questions with correct answers)

AVPU correct answers Alert, responsive to voice, responsive to pain, unresponsive Glasgow coma scale correct answers Eye opening, verbal response, motor response, low score 3 highest score 15 Use of the Glasgow scale is to correct answers Determine neurologic status Insertion of an NG tube correct answers Determine if the client has a deviated septum, the nurse will need to insert the tube through the nares of the unobstructed side Review the laboratory value prior to preparing the medication correct answers When administering a dose of (Lasix), furosemide Furosemide correct answers A loop diuretic can lead to hypokalemia Thyroidectomy correct answers Greatest risk to the client after thyroidectomy is hypocalcemia Highest priority after thyroidectomy correct answers Tingling around the mouth Side effects to albuterol(Proventil) correct answers Tremors Clinical manifestations to a possible latex allergy correct answers Rhinorrhea, nasal irritation Continuous tube feeding and administering digoxin ( Lanoxin) correct answers Flush the tubing before and after administration of the medication with 30 ml of water When a client is experiencing severe anxiety correct answers Speak to the client using simple sentences A client that has diabetes mellitus and reports having influenza. correct answers Tell client to drink at least 240 ml of sugar free fluids every hour to prevent dehydration Transdermal fentanyl patch ( Duragesic). Highest priority finding correct answers Difficulty waking the client Greatest risk to client receiving transdermal patch correct answers Sadation and respiratory depression Transdermal fentanyl patch correct answers Opioid analgesic Closed wound drain correct answers Restore suction by compressing the drain after emptying it Stage 5 Alzheimer's disease correct answers Provide a variety of the clients favorite finger foods durning meal time. This helps to maintain independence by eating himself