100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached 4.6 TrustPilot
logo-home
Exam (elaborations)

Ati medAti medical surgical assessment eesurgical assessment ee

Rating
5.0
(2)
Sold
-
Pages
22
Grade
A+
Uploaded on
30-01-2025
Written in
2024/2025

Ati medical surgical assessment ee

Institution
Course










Whoops! We can’t load your doc right now. Try again or contact support.

Written for

Course

Document information

Uploaded on
January 30, 2025
Number of pages
22
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

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

AjnursejisjreviewingjECGjstripsjforjseveraljclients.jWhichjofjthejfollowingjimagesjshouldjthejn
ursejidentifyjasjatrialjfibrillation

(cannotjinsertjpictures,jreadjdescription)

A. multiplejirregularjandjvariablejwavesjatjthejbaselinejandjirregularjRjtojRjintervals
$18.49
Get access to the full document:

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached


Also available in package deal

Reviews from verified buyers

Showing all 2 reviews
1 month ago

11 months ago

5.0

2 reviews

5
2
4
0
3
0
2
0
1
0
Trustworthy reviews on Stuvia

All reviews are made by real Stuvia users after verified purchases.

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
Allstudyyguide Teachme2-tutor
Follow You need to be logged in order to follow users or courses
Sold
13
Member since
1 year
Number of followers
2
Documents
546
Last sold
1 month ago

4.8

850 reviews

5
713
4
97
3
24
2
12
1
4

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions