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Ati medAti medical surgical assessment eesurgical assessment ee

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Ati medical surgical assessment ee

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ATI Medical SurgicalAssessment E
j j j j




Ajnursejisjplanningjcarejforjajclientjwhojisjreceivingjmechanicaljventilation.jWhichjofjthejfollo
wingjactionsjshouldjthejnursejincludejinjthejplan

A.jProvidejthej clientjwithj ajmeansjofjcommunicationjB.j
Maintainjthejheadjofjthejclient'sjbedjinjajflatjpositionjC.jSuc
tionjthejclient'sjendotrachealjtubejeveryj4jhr
D.jPerformjoraljhygienejforjthejclientjeveryj8jhrj-jA
Usejelectronicjtabletjcomputer,jprogrammablejspeechjgeneratingjdevice,jalphabetjboard,jpe
nciljandjpaper,jetc

--

B,jkeepjheadjofjbedjhigherjthanj30jdegreesjtojpreventjaspirationjandjventilatorjassociatedjpneu
monia.jTurnjthejclientjqj2hrjtojpreventjcomplicationsjrelatedjtojimmobility

C,jassessjthejneedjtojsuctionjqj2-
4jhr,jbutjnotjperformjroutinejsuctioning.jBasejthejneedjforjsuctioningjonjassessments,jnotjajsched
ule.jUnnecessaryjsuctioningjcanjcausejbroncojspasmsjandjinjuryjtrachealjmucosa

D,joraljhygienejshouldjbejperformedjqj2jhrjtojdecreasejthejriskjofjventilatorjassociatedjpneu
monia

AjnursejisjcaringjforjajclientjwhojisjreceivingjIVjfluidjreplacementjtherapyjforjdehydration.jWhi
chjofjthejfollowingjlaboratoryjresultsjindicatesjeffectivenessjofjthejtreatment

A.jSodiumj165jmEq/LjB.j
Potassiumj5.2jmEq/L
C.jUrinejspecificjgravityj1.020j
D.jHctj62%j-jC
Withinjthejexpectedjrangejofj1.005-1.030

--
A,jsodiumjrangejisj136-145

B,jpotassiumjrangejisj3.5-5

D,jHctjrangejisj37%-52%

Ajnursejisjmonitoringjthejlaboratoryjfindingsjforjajclientjwhojisjpostoperativejfollowingjajtotaljh
ipjarthroplastyj6jhrjago.jWhichjofjthejfollowingjvaluesjindicatesjthatjthejclientjhasjanjincreasedjri
skjforjbleeding

A.jPTj11.5jsecondsj
B.jaPTTj35jsecondsj
C.jPlateletsj80,000
D.jRBCj4.0jmillionj-jC

,plateletjrangejisj150,000-400,000

--
A,jPTjrangejisj11-12.5

B,jaPTTjrangejisj30-40jseconds

D,jRBCjrangejisj4.2-
6.1jmillion.jAjlowjRBCjcanjindicatejthatjbleedingjhasjoccurred,jbutjitjdoesjnotjindicatejthatjthejc
lientjisjatjriskjforjbleeding

Ajnursejisjadmittingjajclientjwhojhasjajcervicaljspinaljcordjinjuryjfollowingjajmotorjvehiclejcrash
.jWhichjofjthejfollowingjinterventionsjisjthejnurse'sjpriorityjwhilejcaringjforjthisjclient

A. Changejthejclient'sjpositionjeveryj2jhours
B. Padjpressurejpointsjatjthejedgesjofjthejclient'sjcervicaljcollarjC.j
Palpatejthejclient'sjabdomenjforjbladderjdistention
D.jAssistjthejclientjwithjquadjcoughingj-jD
Thejgreatestjriskjtojajclientjwhojhasjajcervicaljspinaljcordjinjuryjisjanjobstructedjairway;jthejpriori
tyjisjtojensurejthejclientjcanjclearjtheirjairway.jApplyjabdominaljpressurejasjthejclientjcoughsj(qu
adjcoughing)

Ajnursejisjcaringjforjajclientjwhojisjreceivingjajbloodjtransfusion.jWhichjofjthejfollowingjfindin
gsjindicatesjthatjthejclientjisjexperiencingjtransfusion-associatedjcirculatoryjoverload

A. Nasuea
B. Hypothermiaj
C.jDyspnea
D.jBradycardiaj-jC
Dyspneajisjanjindicationjofjpossiblejtransfusionjassociatedjcirculatoryjoverload,jleadingjtojhyperte
nsion,jboundingjpulses,jandjconfusion.jDyspneajcanjalsojindicatejtransfusionjrelatedjacutejlungjinj
uryjtojanjanaphylacticjresponse,jwhichjalsojcausesjwheezing,jchestjtightness,jcyanosis,jandjlowjBP

--
A,jnauseajcanjindicatejanjacutejhemolyticjtransfusionjreaction

B,jtransfusionjreactionsjincludejacutejhemolytic,jfebrile,jmildjallergic,jandjanaphylactic

D,jbradycardiajisjnotjanjindication

Ajnursejisjassessingjajclientjwhojhasjlungjcancerjandjisjundergoingjradiationjtherapyjtojthejchest
.jWhichjofjthejfollowingjindicatesjanjadversejeffectjofjthejtherapy

A. Hairjlossjonjthejscalp
B. Sweatingjatjthejtreatmentjsitej
C.jAlteredjtastejsensations
D.jIntolerancejtojcoldj-jC
Alteredjtastejisjajresultjofjthejreleasejofjmetabolitesjbyjdeadjcells

--

, A,jclientjmayjhavejhairjlossjatjthejtreatmentjsitejonjthejchest

B,jclientjmightjhavejskinjchanges,jsuchjasjdrynessjandjincreasedjsensitivity

D,javoidjheatjexposure

AjnursejisjpreparingjtojadministerjajunitjofjpackedjRBCsjtojajclientjwhojhasjanemia.jWhichjofjthej
followingjactionsjshouldjthejnursejplanjtojtakej(selectjalljthatjapply)

A. Obtainjpre-transfusionjtemperature
B. PrimejthejIVjtubingjwithjlactatedjRinger's
C. InstructjanjassistivejpersonneljtojmonitorjthejclientjduringjthejtransfusionjD.j
Verifyjthejclient'sjbloodjtypejwithjajsecondjnurse
E.jUsejaj20jgaugejIVjneedlejforjvenousjaccessj-jA,jD,jE

--
A,jcompletejassessmentjpriorjtojtransfusion

B,jprimejtubingjwithjajsolutionjthatjdoesjnotjcausejhemolysisjofjPRBCs.jNojLRjorj5%jdextr
ose!

C,jnursejshouldjremainjwithjptjforjfirstj15jminutesjofjtransfusion

D,jverifyjidentification,jbloodjcompatibility,jandjexpirationjofjproductjwithjsecondjnurse

E,jthejnursejshouldjusejajlargejborejneedlejtojtransfusejthejPRBCsjtojreducejthejriskjofjcelljhemol
ysisjandjobstructionjofjflow

Ajnursejisjreviewingjthejlaboratoryjfindingsjforjajclientjwhojisjdehydrated.jWhichjofjthejfollo
wingjBUNjlevelsjshouldjthejnursejexpect

A.j3.6jmg/dlj
B.j8jmg/dL
C.j18.7jmg/dLjD.
j26jmg/dLj-jD

Normaljrangejisj10-
20,jandjelevatedjlevelsjindicatesjrenaljdisease,jdehydration,jshock,jexcessivejproteinjinjthejdie
t,jsepsis,jglucocorticoidjuse,jGIjbleeding,jorjotherjconditionsjinjwhichjbloodjisjreabsorbedjfro
mjinjuredjtissues

--
AjlowjBUNjleveljcanjindicatejmalnutrition,jmalabsorption,jliverjdisease,jfluidjoverload,jorjnep
hroticjsyndrome

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ursejidentifyjasjatrialjfibrillation

(cannotjinsertjpictures,jreadjdescription)

A. multiplejirregularjandjvariablejwavesjatjthejbaselinejandjirregularjRjtojRjintervals

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