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Exam (elaborations)

ATI END OF LIFE ASSESSMENT QUESTION AND ANSWERS

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ATI END OF LIFE ASSESSMENT QUESTION AND ANSWERS WITH COMPLETE SOLUTIONS. Aclientybecome syrestless,ydyspneic,yandyhasycracklesynotedytoytheylungybases.yWhichyofytheyfollowin gyactionsyshouldytheynurseyanticipateytaking? nisteryanyantihistamine ytheyinfusionyrate. ytheyclientyaycorticosteroid ateytheyclientsyloweryextremitiesy-yCORRECTyANSWER- B.yslowytheyinfusionyrate Aynurseyisycaringyfroyayclientywhoyisy4yhrypostoperativeyfollowingyanyopenyreductiony internalyfixationyofytheyrightyankle.yWhichyofytheyfollowingyassessmentyfindingsyshou ldytheynurseyreportytoytheyprovider? emityycoolyuponypalpation sanguineousydrainageyonytheydressing llaryyrefillyofy2yseconds ntyreportyofydiscomfortywhenymovingytoesy-yCORRECTyANSWER- A.yextremityycoolyuponypalpation AynurseyisycaringyforyayclientywhoyhasyincreasedyICPyandyisyreceivingymannitolyviayco ntinuousyIVyinfusion.yTheynurseyshouldyreportywhichyofytheyfollowingyadverseyeffect syofythisymedicationytoytheyprovider? a.yRhinitis klesyheardyonyauscultation easedyurinaryyoutput easedydeepytendonyreflexesy-yCORRECTyANSWER- B.ycracklesyheardyonyauscultation aynurseyisyprovidingyteachingytoyayclientywhoytakeyginkgoybilobayasyanyherbalysupple ment.yWhichyofytheyfollowingystatementsyshouldytheynurseymake?y a.y"ginkgybilobayrelievesynauseayforypeopleywhoyhaceyvertigo." b."takingyginkgoybilobaywillyhelpyrelieveyyouryjointypain. goybilobaycanycauseyanyincreasedyriskyforybleeding ngyginkgoybilobaydecreasedytheyriskyofymigraineyheadahcey- yCORRECTyANSWER-C.yriskyforybleeding aynurseyisyteachingyayclientywhoyhasyaycardiacydysrhythmiayaboutytheypurposeyofyun dergoingycontinuousytelemetryymonitoring.yWhichyofytheyfollowingystatementsybyyth eyclientyreflectsyanyunderstandyofytheyteaching? ymeasuresyhowymuchybloodymyyheartyisypumping yidentifiesyifyiyhaveyaydefectiveyheartyvalve yidentifiesyifytheypacemakerycellsyofymyyheartyareyworkingyproperly

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ATI END OF LIFE ASSESSMENT QUESTION AND ANSWERS
WITH COMPLETE SOLUTIONS.
Aynurseyisycaringyforyayclientywhoyisyreceivingyaybloodytransfusion.ytheyclientybecome
syrestless,ydyspneic,yandyhasycracklesynotedytoytheylungybases.yWhichyofytheyfollowin
gyactionsyshouldytheynurseyanticipateytaking?
a.yadministeryanyantihistamine
b.yslowytheyinfusionyrate.
c.ygiveytheyclientyaycorticosteroid
d.yelevateytheyclientsyloweryextremitiesy-yCORRECTyANSWER-
B.yslowytheyinfusionyrate

Aynurseyisycaringyfroyayclientywhoyisy4yhrypostoperativeyfollowingyanyopenyreductiony
internalyfixationyofytheyrightyankle.yWhichyofytheyfollowingyassessmentyfindingsyshou
ldytheynurseyreportytoytheyprovider?
a.yextremityycoolyuponypalpation
b.yserosanguineousydrainageyonytheydressing
c.ycapillaryyrefillyofy2yseconds
d.yclientyreportyofydiscomfortywhenymovingytoesy-yCORRECTyANSWER-
A.yextremityycoolyuponypalpation

AynurseyisycaringyforyayclientywhoyhasyincreasedyICPyandyisyreceivingymannitolyviayco
ntinuousyIVyinfusion.yTheynurseyshouldyreportywhichyofytheyfollowingyadverseyeffect
syofythisymedicationytoytheyprovider?
a.yRhinitis
b.ycracklesyheardyonyauscultation
c.yincreasedyurinaryyoutput
d.ydecreasedydeepytendonyreflexesy-yCORRECTyANSWER-
B.ycracklesyheardyonyauscultation

aynurseyisyprovidingyteachingytoyayclientywhoytakeyginkgoybilobayasyanyherbalysupple
ment.yWhichyofytheyfollowingystatementsyshouldytheynurseymake?y
a.y"ginkgybilobayrelievesynauseayforypeopleywhoyhaceyvertigo."
b."takingyginkgoybilobaywillyhelpyrelieveyyouryjointypain.
c.yginkgoybilobaycanycauseyanyincreasedyriskyforybleeding
d.ytakingyginkgoybilobaydecreasedytheyriskyofymigraineyheadahcey-
yCORRECTyANSWER-C.yriskyforybleeding



aynurseyisyteachingyayclientywhoyhasyaycardiacydysrhythmiayaboutytheypurposeyofyun
dergoingycontinuousytelemetryymonitoring.yWhichyofytheyfollowingystatementsybyyth
eyclientyreflectsyanyunderstandyofytheyteaching?
a.ythisymeasuresyhowymuchybloodymyyheartyisypumping
b.ythisyidentifiesyifyiyhaveyaydefectiveyheartyvalve
c.ythisyidentifiesyifytheypacemakerycellsyofymyyheartyareyworkingyproperly

, d.ythisymeasuresytheybloodycirculatingytoymyyheartymuscley-yCORRECTyANSWER-
c.ythisyidentifiesyifytheypacemakerycellsyofymyyheartyareyworkingyproperly

aynuresyisycaringyforyayclientywhoyhasyaypotassiumylevelyofy3ymEq/L.yWhichyofytheyfol
lowingyassessmentyfindingyshouldytheynurseyexpect?
a.ypostivieytrousseau'sysign
b.y4+ydeepytendonyreflexes
c.ydeepyrespirations
d.yhypoactiveybowelysoundsy-yCORRECTyANSWER-D.yhypoactiveybowelysounds

aynurseyisycaringyfroyayclientywhoyisyreceivingyTPNyandyisyNPO.yWhenyreviewingythey
chart,ytheynurseynotesytheyfollowingyprescription:ycapillaryybloodyglucoseyACyandyHS
.yWhichyofytheyfollowingyactionsyshouldytheynurseytake?
a.ycheckytheyclientsybloodyglucoseyaccordingytoyfacilityymealtimes
b.ycontactytheyprimaryycareyproviderytoyclarifyytheyprescription
c.yrequestyforymealytoybeyprovidedyforytheyclient
d.yholdytheyprescriptionyuntilytheyclientyisynoylongeryNPOy-yCORRECTyANSWER-
B.ycontactytheyprimaryycareyproviderytoyclarifyytheyprescription

aynurseyisyreviewingytheylabyresultsyofyayclientywhoyhasyAIDSyandyisytakingyamphoter
icinyByforyfungalyinfection.yTheynurseyshouldyidentifyythatywhichyofytheyfollowingyval
uesyisyanyindicationyofyanyadverseyeffectyofytheymedicationy
a.ypotassiumy4.8
b.ymagnesiumy1.7
yC.yBUNy34

D.yhematocrity45%y-yCORRECTyANSWER-C.yBUNy34

aynurseyisyassessingyayclientywhoyhasyCushing'sydisease.yWhichyofytheyfollowingyfindi
ngsyshouldytheynurseyexpect?
a.ymuscleyatrophy
b.yataxia
c.yweightyloss
d.yhypotensiony-yCORRECTyANSWER-a.ymuscleyatrophy

aynurseyisycaringyfroyayclinetywhoyhasyDKA.yWhichyofytheyfollowingyshouldytheynursey
planytoyadminister
a.y240ymLy(8oz)yofyorangeyjuice
b.y1yampuleyofy50%ydextroseyIVybolus
c.yNPHyinsuliny60yunitsysubq
D.yregularyinsuliny20yunitsyIVybolusy-yCORRECTyANSWER-
D.yregularyinsuliny20yunitsyIVybolus

Aynurseyisyprovidingyteachingytoyayclientywhoyhasyesophagealycanceryandyisytoyunder
goyradiationytherapy.yWhichyofytheyfollowingystatementsyshouldytheynurseyidentifyya
syanyindicationythatytheyclientyunderstandytheyteaching?
a.yIywillywashytheyinkymarkingsyoffytheyradiationsyareayafteryeachytreatment
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