ATI RN ADULT MED SURG ONLINE PRACTICE 2019 B WITH NGN (WELL ELABORATED RATIONALED ANSWERS)

ATI RN ADULT MED SURG ONLINE PRACTICE 2019 B WITH NGN (WELL ELABORATED RATIONALED ANSWERS) A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse that the client's condition is improving? Glucose 272 RATIONALE A glucose reading less than 300 mg/dL indicates improvement in the client's status. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to administer? Regular insulin 20 units IV. RATIONALE DKA is a complication of diabetes mellitus that results in dehydration, ketosis, metabolic acidosis, and elevated blood glucose levels. Management of DKA involves providing hydration, correcting acid-base imbalances, and decreasing blood glucose levels. Regular insulin is a fastacting insulin that can be effective within 10 min when administered intravenously. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The nurse should identify the need to revise the plan for which of the following clients? - A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. RATIONALE A feeling of something popping or loosening with coughing might indicate a wound dehiscence. This client will need to have revisions to the plan of care, which can include management of the dehiscence, prevention of evisceration, or possible surgical repair of an evisceration if one occurs. A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. Which of the following statements by the client indicates an understanding of the teaching? I will use an electric razor to shave. RATIONALE Heparin is an anticoagulant that places the client at the risk for bleeding. Therefore, the nurse should instruct the client to use an electric razor when shaving to reduce the risk of cuts to the skin. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider? Sedimentation rate. RATIONALE An increased sedimentation rate occurs when a client has any type of inflammatory process, such as osteomyelitis. A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious anemia? image depicts glossitis, which can indicate pernicious anemia. RATIONALE Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid.