ATI RN ADULT MEDICAL SURGICAL 2024 EXAMS UPGRAND WITH CORRECT QUSTION AND ANSWERS Adverse effect of enalapril - correct answerIdentify orthostatic hypotension as an adverse effect of enalapril. Delayed wound healing - correct answerIdentify urine outpu
ATI RN ADULT MEDICAL SURGICAL 2024 EXAMS UPGRAND WITH CORRECT QUSTION AND ANSWERS Adverse effect of enalapril - correct answerIdentify orthostatic hypotension as an adverse effect of enalapril. Delayed wound healing - correct answerIdentify urine output of 25 mL/hr as a finding that contributes to delayed wound healing. Hypothyroidism and opioid analgesic - correct answerInstruct client to void every 4 hours to decrease the risk of urinary retention, which is an adverse effect of opioid analgesics. Portal hypertension - correct answerObtain vital signs first when caring for a client who is vomiting blood mixed with food after a meal, as this indicates a potential rupture of esophageal varices. Gastrectomy postoperative instructions - correct answerInstruct client to avoid drinking fluids with meals, eat several small meals per day, consume high-protein snacks, and avoid highly seasoned foods. Cushing's triad - correct answerIdentify bradycardia as a component of Cushing's triad in a client with increased intracranial pressure from a traumatic brain injury. Client coping with diabetes diagnosis - correct answerRecognize the client's change in behavior of inspecting feet daily as an indication of successful coping with the diagnosis. Inguinal hernia assessment - correct answerPalpate location C to verify the presence of an inguinal hernia. Rattlesnake bite treatment - correct answerExpect a prescription for an opioid analgesic to promote comfort following a rattlesnake bite. Hemodialysis treatment - correct answerPerform a 12-lead ECG, place the client in Trendelenburg position, administer a 0.9% sodium chloride 200 mL IV bolus, apply oxygen at 2 L/min via nasal cannula, and notify the provider immediately. Client rights - correct answerEnsure a client signs informed consent before receiving a placebo during a research trial. Omeprazole action - correct answerInstruct the client that omeprazole provides relief by suppressing gastric acid production. Physical therapy referral - correct answerRefer a client who is receiving preoperative teaching for a right knee arthroplasty to physical therapy to begin understanding postoperative exercises and physical restrictions. Droplet precautions - correct answerInstruct an assistive personnel (AP) to wear a mask when coming within 3 ft of a client who has bacterial meningitis. Stress incontinence and weight loss - correct answerRecommend weight loss to reduce excess abdominal pressure and mitigate the risk of stress incontinence. Hypokalemia and bowel sounds - correct answerExpect hypoactive bowel sounds in a client with hypokalemia. Diagnostic results follow-up - correct answerFollow up on PCO2 level, WBC count, chest X-ray, and oxygen saturation level. Neurological event follow-up - correct answerFollow up on visual disturbances, tingling of the lips, hand grasps, and expressive aphasia. Testicular self-examination - correct answerInstruct the client to roll each testicle between the thumb and fingers to feel for any lumps deep in the center of the testicle. Hyperthyroidism assessment - correct answerReport blood pressure of 170/80 mm Hg to the provider as a priority finding. Muscle cramps and tingling sensation - correct answerAdminister calcium carbonate to a client experiencing muscle cramps and tingling sensation in the hands.
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