ATI Med Surg GI/ Neuro Exam Q&A

ATI Med Surg GI/ Neuro Exam Q&A1. A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancyinduced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications? A. Placenta previa Rationale: Placenta previa occurs with painless vaginal bleeding. B. Prolapsed cord Rationale: With a prolapsed umbilical cord, there is no bleeding or pain. There may be changes in the fetal heart tracing, and the cord might also become visible. C. Ruptured ovarian cysts Rationale: A rupture of an ovarian cyst can cause sudden pelvic pain, but it does not commonly cause vaginal bleeding. D. Abruptio placentae Rationale: The cardinal signs and symptoms of abruptio placentae include a rigid board-like abdomen, severe pain, and heavy vaginal bleeding. 2. 1 2 . PICC insertion site. Which of the following actions should the nurse take first? m seems swollen above the A. Measure the circumference of both upper arms. Rationale: The first action to take if the client's arm appears to be swollen is to measure the arm and compare it to the circumference of the other arm. If the arm is swollen, it is appropriate to notify the provider who inserted the PICC line. Swelling could indicate formation of a clot above the site. B. Notify the provider who inserted the PICC line. Rationale: It may be necessary to notify the provider, but this is not the first action the nurse should take. C. Remove the PICC line. Rationale: It may be necessary to remove the PICC line, but this is not the first action the nurse should take. D. Apply a cold pack to the client's upper arm. Rationale: It may be necessary to apply a cold pack to the client's upper arm, but this is not the first action the nurse should take.