ATI MED SURG PROCTORED EXAM RETAKE LATEST UPDATES 2023 A GRADE.

ATI MED SURG PROCTORED EXAM RETAKE LATEST UPDATES 2023 A GRADE. A NURis assessing a client who is 12 he postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? A. Heart rate 90/min B. Absent bowel sounds C. Hgb 8.2 g/dl D. Gastric pH of 3.0 - answer-C. Hgb 8.2 g/dl Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. A NURis caring who has diabetes insipidus. Which of the following medications should the nurse plan to administer? A. Desmopressin B. Regular insulin C. Furosemide D. Lithium Carbonate - answer-A. Desmopressin Rationale: Diabetes insipidus has decreased ADH. Administer Desomopressin/Vasopressin increase ADH and to stop patient on urinating. A NURis admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following test should the nurse monitor? A. Fasting blood glucose B. Stool for occult blood - GI bleed C. Urine for white blood cells D. Serum calcium - answer-B. Stool for occult blood-GI bleed A NURis planning care for a client who has Cushing's syndrome due to chronic corticosteroid use. Which of the following actions should the nurse involve in the plan of care? A. Contact the physician B. Administer antidote C. Check the client's urine specific gravity. D. Obtain a sputum culture - answer-C. Check the client's urine specific gravity. Rationale: to assess for fluid volume overload. A NURis collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? A. Cool, clammy skin B. Hyperventilation C. Increased blood pressure D. Bradycardia - answer-B. Hyperventilation A NURnotes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first? A. Cover the clients wound with a moist, sterile dressing B. Have the client lie supine with knees flexed C. Check the clients vital signs D. Inform the client about the need to return to surgery - answer-A. Cover the clients wound with a moist, sterile dressing A NURis reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching? A. Avoid bending at the waist B. Remove the eye shield at bedtime C. Limit the use of laxatives if constipated D. Seeing flashes of light is an expected finding following extraction - answer-A. Avoid bending at the waist A NURis caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the clients wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found? A. Sanguineous B. Serous C. Serosanguineous D. Purulent - answer-D) Purulent A NURis caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin the clients secretions? A. Provide humidified oxygen B. Perform chest physiotherapy prior to suctioning C. Prelubricate the suction catheter tip with sterile saline when suctioning the airway. D. Hyperventilate the client with 100% oxygen before suctioning the airway - answer-A. Provide humidified oxygen A NURis caring for a client who is 4 hours postoperative following a transuretheral resection of the prostate (TURP). Which of the following is the priority finding for the nurse to report to the provider? A. Emesis of 100 mL B. Oral temperature of 37.5 C (99.5 F) C. Thick red colored urine D. Pain level of 4 on a 0 to 10 rating scale - answer-C. Thick red colored urine A NURis caring for a client who has a temperature of 39.7 and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? A. Shivering B. Infection C. Burns D. Hypervolemia - answer-A. Shivering A NURis caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first? A. Suggest that the client rests before eating the meal B. Request a dietary consult C. Check the clients vital signs D. Request an order for an antiemetic - answer-C. Check the clients vital signs A NURis reinforcing teaching about exercise with a client who has Type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? A. "I will carry a complex carbohydrate snack with me when I exercise" B. "I should exercise first thing in the morning before eating breakfast" C. "I should avoid injecting insulin into my thigh if I am going to go running" D. "I will not exercise if my urine is positive for ketones" - answer-D. "I will not exercise if my urine is positive for ketones" Following admission, a client with a vascular occlusion of the right lower extremity calls The nurse and reports difficulty sleeping because of cold feet. Which of the following nursing action should the nurse take to promote the clients com