ATI RN Adult Medical Surgical Practice 2019 A 100%Correct Questions and Revised Answers.

ATI RN Adult Medical Surgical Practice 2019 A 100%Correct Questions and Revised Answers. A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? (ANS - Hypokalemia Rationale: Lactulose works by stimulating the production of excess stores to rid the body of excess ammonia. These excessive stores can result in a hypo kalemia and dehydration. A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? (ANS - Instruct the client to allow the machine to breathe for them. Rationale: When providing client care, the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should take is to provide verbal instructions in emotional support to help the client relax and allow the ventilator to work. Clients can exhibit anxiety and restlessness we're trying to "fight the ventilator." A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? (ANS - Add cabbage to the diet. Rationale: To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as cabbage, cauliflower, and broccoli, are all high in fiber. ATI RN Adult Medical Surgical Practice 2019 A A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? (Select all that apply.) (ANS - Visual spatial deficits, Left hemianopsia, One-sided neglect. Rationale: Visual spatial deficits and loss of depth perception occur secondary to a right hemispheric stroke. Left hemianopsia, or blindness in the left half of the visual field, occur secondary to right hemispheric stroke. One-sided neglect, or in unawareness of the affected side, occur secondary to a right hemispheric stroke. A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? (ANS - Nonrebreather mask Rationale: The nurse should initiate a nonrebreather mask to deliver between 80% to 95% oxygen to the client. A client who has an unstable respiratory status should receive oxygen via non-rebreather mask. A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client has dyspnea with a productive cough and is using accessory muscles to breathe. Which of the following actions should the nurse take first? (ANS - Place the client in high-Fowler's position. Rationale: the greatest risk to this client is injury from airway obstruction. Therefore, their priority intervention the nurse should take us to move the client into high Fowlers position. High Fowlers position facilitate long expansion and improves been elation and gas exchange.