ATI Medical Surgical Assessment E verified 100% with correct questions and answers

ATI Medical Surgical Assessment E
verified 100% with correct questions and
answers
ATnurseTisTplanningTcareTforTaTclientTwhoTisTreceivingTmechanicalTventilation.TWhichTofTtheTfoll
owingTactionsTshouldTtheTnurseTincludeTinTtheTplan

A. ProvideTtheTclientTwithTaTmeansTofTcommunication
B. MaintainTtheTheadTofTtheTclient'sTbedTinTaTflatTposition
C. SuctionTtheTclient'sTendotrachealTtubeTeveryT4Thr
D. PerformToralThygieneTforTtheTclientTeveryT8ThrT-TA
UseTelectronicTtabletTcomputer,TprogrammableTspeechTgeneratingTdevice,TalphabetTboard,Tpenc
ilTandTpaper,Tetc

--

B,TkeepTheadTofTbedThigherTthanT30TdegreesTtoTpreventTaspirationTandTventilatorTassociatedTpne
umonia.TTurnTtheTclientTqT2hrTtoTpreventTcomplicationsTrelatedTtoTimmobility

C,TassessTtheTneedTtoTsuctionTqT2-
4Thr,TbutTnotTperformTroutineTsuctioning.TBaseTtheTneedTforTsuctioningTonTassessments,TnotTaTsc
hedule.TUnnecessaryTsuctioningTcanTcauseTbroncoTspasmsTandTinjuryTtrachealTmucosa

D,ToralThygieneTshouldTbeTperformedTqT2ThrTtoTdecreaseTtheTriskTofTventilatorTassociatedTpneum
onia

ATnurseTisTcaringTforTaTclientTwhoTisTreceivingTIVTfluidTreplacementTtherapyTforTdehydration.T
WhichTofTtheTfollowingTlaboratoryTresultsTindicatesTeffectivenessTofTtheTtreatment

A. SodiumT165TmEq/L
B. PotassiumT5.2TmEq/L
C. UrineTspecificTgravityT1.020
D. HctT62%T-TC
WithinTtheTexpectedTrangeTofT1.005-1.030

--
A,TsodiumTrangeTisT136-145

B,TpotassiumTrangeTisT3.5-5

D,THctTrangeTisT37%-52%

ATnurseTisTmonitoringTtheTlaboratoryTfindingsTforTaTclientTwhoTisTpostoperativeTfollowingTaTtot
alThipTarthroplastyT6ThrTago.TWhichTofTtheTfollowingTvaluesTindicatesTthatTtheTclientThasTanTincr
easedTriskTforTbleeding

A. PTT11.5Tseconds
B. aPTTT35Tseconds
C. PlateletsT80,000
D. RBCT4.0TmillionT-TC

,plateletTrangeTisT150,000-400,000

--
A,TPTTrangeTisT11-12.5

B,TaPTTTrangeTisT30-40Tseconds

D,TRBCTrangeTisT4.2-
6.1Tmillion.TATlowTRBCTcanTindicateTthatTbleedingThasToccurred,TbutTitTdoesTnotTindicateTthatTt
heTclientTisTatTriskTforTbleeding

ATnurseTisTadmittingTaTclientTwhoThasTaTcervicalTspinalTcordTinjuryTfollowingTaTmotorTvehicleTc
rash.TWhichTofTtheTfollowingTinterventionsTisTtheTnurse'sTpriorityTwhileTcaringTforTthisTclient

A. ChangeTtheTclient'sTpositionTeveryT2Thours
B. PadTpressureTpointsTatTtheTedgesTofTtheTclient'sTcervicalTcollar
C. PalpateTtheTclient'sTabdomenTforTbladderTdistention
D. AssistTtheTclientTwithTquadTcoughingT-TD
TheTgreatestTriskTtoTaTclientTwhoThasTaTcervicalTspinalTcordTinjuryTisTanTobstructedTairway;TtheT
priorityTisTtoTensureTtheTclientTcanTclearTtheirTairway.TApplyTabdominalTpressureTasTtheTclientTc
oughsT(quadTcoughing)

ATnurseTisTcaringTforTaTclientTwhoTisTreceivingTaTbloodTtransfusion.TWhichTofTtheTfollowingTfin
dingsTindicatesTthatTtheTclientTisTexperiencingTtransfusion-associatedTcirculatoryToverload

A. Nasuea
B. Hypothermia
C. Dyspnea
D. BradycardiaT-TC
DyspneaTisTanTindicationTofTpossibleTtransfusionTassociatedTcirculatoryToverload,TleadingTtoThy
pertension,TboundingTpulses,TandTconfusion.TDyspneaTcanTalsoTindicateTtransfusionTrelatedTacut
eTlungTinjuryTtoTanTanaphylacticTresponse,TwhichTalsoTcausesTwheezing,TchestTtightness,Tcyano
sis,TandTlowTBP

--
A,TnauseaTcanTindicateTanTacuteThemolyticTtransfusionTreaction

B,TtransfusionTreactionsTincludeTacuteThemolytic,Tfebrile,TmildTallergic,TandTanaphylactic

D,TbradycardiaTisTnotTanTindication

ATnurseTisTassessingTaTclientTwhoThasTlungTcancerTandTisTundergoingTradiationTtherapyTtoTtheTch
est.TWhichTofTtheTfollowingTindicatesTanTadverseTeffectTofTtheTtherapy

A. HairTlossTonTtheTscalp
B. SweatingTatTtheTtreatmentTsite
C. AlteredTtasteTsensations
D. IntoleranceTtoTcoldT-TC
AlteredTtasteTisTaTresultTofTtheTreleaseTofTmetabolitesTbyTdeadTcells

--

, A,TclientTmayThaveThairTlossTatTtheTtreatmentTsiteTonTtheTchest

B,TclientTmightThaveTskinTchanges,TsuchTasTdrynessTandTincreasedTsensitivity

D,TavoidTheatTexposure

ATnurseTisTpreparingTtoTadministerTaTunitTofTpackedTRBCsTtoTaTclientTwhoThasTanemia.TWhichT
ofTtheTfollowingTactionsTshouldTtheTnurseTplanTtoTtakeT(selectTallTthatTapply)

A. ObtainTpre-transfusionTtemperature
B. PrimeTtheTIVTtubingTwithTlactatedTRinger's
C. InstructTanTassistiveTpersonnelTtoTmonitorTtheTclientTduringTtheTtransfusion
D. VerifyTtheTclient'sTbloodTtypeTwithTaTsecondTnurse
E. UseTaT20TgaugeTIVTneedleTforTvenousTaccessT-TA,TD,TE

--
A,TcompleteTassessmentTpriorTtoTtransfusion

B,TprimeTtubingTwithTaTsolutionTthatTdoesTnotTcauseThemolysisTofTPRBCs.TNoTLRTorT5%Tdextro
se!

C,TnurseTshouldTremainTwithTptTforTfirstT15TminutesTofTtransfusion

D,TverifyTidentification,TbloodTcompatibility,TandTexpirationTofTproductTwithTsecondTnurse

E,TtheTnurseTshouldTuseTaTlargeTboreTneedleTtoTtransfuseTtheTPRBCsTtoTreduceTtheTriskTofTcellThe
molysisTandTobstructionTofTflow

ATnurseTisTreviewingTtheTlaboratoryTfindingsTforTaTclientTwhoTisTdehydrated.TWhichTofTtheTfollo
wingTBUNTlevelsTshouldTtheTnurseTexpect

A. 3.6Tmg/dl
B. 8Tmg/dL
C. 18.7Tmg/dL
D. 26Tmg/dLT-TD
NormalTrangeTisT10-
20,TandTelevatedTlevelsTindicatesTrenalTdisease,Tdehydration,Tshock,TexcessiveTproteinTinTtheTdi
et,Tsepsis,TglucocorticoidTuse,TGITbleeding,TorTotherTconditionsTinTwhichTbloodTisTreabsorbedTfr
omTinjuredTtissues

--
ATlowTBUNTlevelTcanTindicateTmalnutrition,Tmalabsorption,TliverTdisease,TfluidToverload,TorTne
phroticTsyndrome

ATnurseTisTreviewingTECGTstripsTforTseveralTclients.TWhichTofTtheTfollowingTimagesTshouldTth
eTnurseTidentifyTasTatrialTfibrillation

(cannotTinsertTpictures,TreadTdescription)

A. multipleTirregularTandTvariableTwavesTatTtheTbaselineTandTirregularTRTtoTRTintervals