MED SURGE ATI
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ATI MED SURG PROCTORED EXAM ... Nursing Application for Managing P... Chapter 2
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A nurse is providing dietary "I will use canola oil when making salad dressing."
instructions to a client who has
cardiovascular disease. The
nurse should identify that which
of the following statements by
the client indicates an
understanding of the teaching?
Client is restless
A nurse is caring for a client who
Client is tachypneic
has COPD. Click to highlight the
Cough is productive, and mucous is yellow in color
findings below that require
Pulse 110/min
immediate follow-up
+2 pulses in all extremities
A nurse is caring for a client who Hgb 8.4 g/dl (12 to 18 g/dl)
is experiencing an exacerbation Lung sounds clear- Indication of potential improvement
of heart failure. The nurse is Creatinine 1.8 mg/dL- Unrelated to diagnosis
assessing the client 24 hr later. Weight 113 kg (249 lb)- Check previous weight. Indication of
How should the nurse interpret potential worsening condition
the findings related to the WBC count 11,800/ mm- Unrelated to diagnosis
diagnosis of heart failure? For Temperature 38.5 C (101.3 F)- Unrelated to diagnosis
each finding, click to specify Shortness of breath with excretion- Indication of potential
whether the finding is unrelated worsening condition
to the diagnosis, a sign of
potential improvement, or a sign
of potential worsening condition
4. 4.
A nurse is caring for a client who The client is at risk for developing DYSRHYTHMIAS and ACUTE
has heart failure. Drag words KIDNEY INJURY
from the choices below to fill in
each blank in the following
sentence.
, A nurse is providing teaching to "I will draw up the regular insulin into the syringe first."
a client who has diabetes
mellitus about the self-
administration of insulin. The
client has prescriptions for
regular and NPH insulins. Which
of the following statements by
the client indicates an
understanding of the teaching?
A nurse on a medical-surgical Use a bed alarm
unit is planning care for a client
who has dementia and a history
of wandering. Which of the
following actions should the
nurse plan to implement?
A nurse is caring for a client Request a prescription for insulin- Anticipated
receiving TPN. Which of the Request an antibiotic to be administered- Anticipated Decrease
following actions should the the client's oxygen to 1.5 L/min oxygen via nasal cannula
nurse take? For each potential Have 3 nurses verify the TPN solution prescription- Nonessential
nursing intervention, click to Notify provider to increase TPN rate/hr- Nonessential
specify if the potential Obtain client weight twice daily- Anticipated
intervention is anticipated,
nonessential, or contraindicated
for the client.
A nurse is caring for a client who The client is at highest risk for WOUND INFECTION as evidenced
is postoperative following a total by the client's BLOOD GLUCOSE LEVEL
knee arthroplasty. Complete the
following sentence by using the
lists of options.
A nurse is caring for a client who Administer nitroglycerin
has acute angina. Which of the
following actions should the
nurse take first?
A nurse in the emergency Gently elevate the client's head and note anu nuchal rigidity
department is evaluating a
young adult client for bacterial
meningitis. Which of the
following actions should the
nurse take as part of the
focused assessment?
A nurse is planning care for a Check the pulse distal to the graft
client who is postoperative
following insertion of an
arteriovenous graft in their left
forearm. Which of the following
actions should the nurse include
in the plan of care?