Med Surg ATI Practice Questions and 100% Correct Answers(GRADED A+)

A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? a. flat jugular veins b. a GCS of 15 c. sleepiness exhibited by the client d. widening pulse pressure e. decerebrate posturing - ANSWER-c. sleepiness exhibited by the client d. widening pulse pressure e. decerebrate posturing A nurse is preparing a client who has supraventricular tachycardia for an elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hours prior to cardioversion? a. enoxaparin b. metformin c. diazepam d. digoxin - ANSWER-d. digoxin Cardiac glycosides can increase ventricular irritability and put the client as risk for ventricular fibrillation after cardioversion. A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? a. anorexia b. abdominal pain radiating to the right shoulder c. tachycardia d. rebound abdominal tenderness - ANSWER-c. tachycardia Tachycardia is a manifestation of biliary colic, which can lead to shock. Position HOB flat and tell HCP. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? a. suction machine b. wire cutters c. padded clamp d. communication board - ANSWER-a. suction machine Suction machine should be present to clear patient's airway as needed and reduce risk of aspiration. A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse's priority? a. loosen the clothing around the client's neck b. check the client's pupillary response