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ne
la
ATI MED SURG MIDTERM EXAM COMPLETE SOLUTION
tz
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Sp
QUESTION AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY GRADED A+ ne
la
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Sp
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la
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Sp
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A 45-year-old man with diabetic nephropathy has end-stage
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renal disease and is starting dialysis. What should the nurse
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teach the patient about hemodialysis? - CORRECT ANSWERa.
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"Hemodialysis is a treatment option that is usually required
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three times a week."
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la
Mr. John Oliver, with a history of HTM an DM presents with
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"crushing" substernal chest pain, diaphoresis, hypotension,
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tachycardia, and cool, clammy extremities. What type of shock
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do you suspect? - CORRECT ANSWER-Cardiogenic
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ne
a
A client in the ICU has had an endotracheal tube in place for
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3 weeks. The health care provider has ordered a tracheostomy
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tube be placed. The client's family wants to know why the
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sh
endotracheal tube cannot be left in place. What would be the
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nurse's best response? - CORRECT ANSWER-a. "When an
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endotracheal tube is left in too long it can damage the lining of
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the windpipe."
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The nurse is caring for a client in the ICU admitted with ARDS
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after exposure to toxic fumes from a hazardous spill at work.
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The client has become hypotensive. What is the cause of this
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complication to the ARDS treatment? - CORRECT ANSWER-a.
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Hypovolemia secondary to leakage of fluid into the interstitial
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spaces.
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la
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A nurse educator is reviewing the indications for chest
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drainage systems with a group of medical nurses. What
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indications should the nurse identify? Select all the apply. -
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CORRECT ANSWER-a. Spontaneous pneumothorax b. Chest
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trauma resulting is pneumothorax
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c. Post thoracotomy
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la
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Sp
A team of nurses are reviewing the similarities and
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differences between the different classifications of shock.
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Which sub-classifications of distributive shock should nurses
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identify? - CORRECT ANSWER-a. Neurogenic b. Anaphylactic
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c. Septic
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sh
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la
The nurse is caring for a patient admitted with cardiogenic
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shock. The patient is experiencing chest pain and there is an
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order for the administration of morphine. IN addition to pain
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control, what is the main rationale for administering morphine
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Sp
to this patient? - CORRECT ANSWER-It dilates blood vessels
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la
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A client is responding poorly to interventions aimed at treating
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shock and appears to be transitioning to the irreversible stage
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of shock. What action should the intensive
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care nurse include during this phase of the client's care? -
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CORRECT ANSWER-Communicate clearly and frequently with
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the client's family
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The acute care nurse is providing care for an adult patient who
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is in hypovolemic shock. The nurse recognizes that antidiuretic
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la
hormone plays a significant role in this health problem. What
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assessment finding will the nurse most likely observe related to
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the role of AD during hypovolemic shock? - CORRECT ANSWER-
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Decreased Urinary Output
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The nurse in the ICU is admitting a 57-year old man with a
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diagnosis of possible septic shock. The nurse's assessment
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reveals that the client has a normal blood pressure, increased
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sh
Sp
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, ne
sh
heart rate, decreased bowel sounds, and cold, clammy skin. The
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la
nurse's analysis of these data should lead to what preliminary
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sh
conclusion? - CORRECT ANSWER-The client is in the
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compensatory stage of shock
la
sh
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Which safety measures would me most important to implement
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when caring for a client who is receiving 2 units of packed red
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sh
bloods cells (PRBCs)? Select ALL that apply - CORRECT ANSWER-
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a. Stop the transfusion if a reaction occurs
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b. Inspect the blood bag for leaks, abnormal color, and clots
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Sp
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c. Infuse a unit of PRBCs in < 4 hours
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tz
sh
Sp
ne
D.H. is diagnosed with hypomagnesemia, which nursing
la
intervention would be appropriate? - CORRECT ANSWER-a.
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Sp
Instituting seizure reaction to prevent patient injury
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la
tz
sh
Sp
A nurse in the ICU is planning the care of a client who is being
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treated for shock. What statement best describes the
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pathophysiology of this client's health problem? - CORRECT
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Sp
ANSWER-a. Cells lack an adequate blood supply and are
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deprived of oxygen and nutrient
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
sh
ne
la
ATI MED SURG MIDTERM EXAM COMPLETE SOLUTION
tz
sh
Sp
QUESTION AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY GRADED A+ ne
la
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
A 45-year-old man with diabetic nephropathy has end-stage
ne
renal disease and is starting dialysis. What should the nurse
la
tz
teach the patient about hemodialysis? - CORRECT ANSWERa.
sh
Sp
ne
"Hemodialysis is a treatment option that is usually required
la
three times a week."
sh
Sp
ne
la
Mr. John Oliver, with a history of HTM an DM presents with
tz
sh
"crushing" substernal chest pain, diaphoresis, hypotension,
Sp
ne
tachycardia, and cool, clammy extremities. What type of shock
la
do you suspect? - CORRECT ANSWER-Cardiogenic
sh
Sp
ne
a
A client in the ICU has had an endotracheal tube in place for
tz
l
sh
Sp
3 weeks. The health care provider has ordered a tracheostomy
ne
tube be placed. The client's family wants to know why the
la
sh
Sp
la
Sp
, ne
sh
endotracheal tube cannot be left in place. What would be the
ne
la
nurse's best response? - CORRECT ANSWER-a. "When an
tz
sh
endotracheal tube is left in too long it can damage the lining of
Sp
the windpipe."
ne
la
sh
Sp
ne
The nurse is caring for a client in the ICU admitted with ARDS
la
after exposure to toxic fumes from a hazardous spill at work.
tz
sh
The client has become hypotensive. What is the cause of this
Sp
ne
complication to the ARDS treatment? - CORRECT ANSWER-a.
la
Hypovolemia secondary to leakage of fluid into the interstitial
sh
Sp
spaces.
ne
la
tz
sh
Sp
A nurse educator is reviewing the indications for chest
ne
drainage systems with a group of medical nurses. What
la
indications should the nurse identify? Select all the apply. -
sh
Sp
ne
CORRECT ANSWER-a. Spontaneous pneumothorax b. Chest
la
trauma resulting is pneumothorax
tz
sh
Sp
c. Post thoracotomy
ne
la
sh
Sp
A team of nurses are reviewing the similarities and
ne
differences between the different classifications of shock.
a
tz
Which sub-classifications of distributive shock should nurses
l
sh
Sp
identify? - CORRECT ANSWER-a. Neurogenic b. Anaphylactic
ne
la
c. Septic
sh
Sp
la
Sp
, ne
sh
ne
la
The nurse is caring for a patient admitted with cardiogenic
tz
sh
Sp
shock. The patient is experiencing chest pain and there is an
ne
order for the administration of morphine. IN addition to pain
la
control, what is the main rationale for administering morphine
sh
Sp
to this patient? - CORRECT ANSWER-It dilates blood vessels
ne
la
tz
sh
A client is responding poorly to interventions aimed at treating
Sp
ne
shock and appears to be transitioning to the irreversible stage
la
of shock. What action should the intensive
sh
Sp
care nurse include during this phase of the client's care? -
ne
CORRECT ANSWER-Communicate clearly and frequently with
la
tz
the client's family
sh
Sp
ne
la
The acute care nurse is providing care for an adult patient who
sh
Sp
is in hypovolemic shock. The nurse recognizes that antidiuretic
ne
la
hormone plays a significant role in this health problem. What
tz
sh
assessment finding will the nurse most likely observe related to
Sp
ne
the role of AD during hypovolemic shock? - CORRECT ANSWER-
la
Decreased Urinary Output
sh
Sp
ne
a
The nurse in the ICU is admitting a 57-year old man with a
tz
l
sh
Sp
diagnosis of possible septic shock. The nurse's assessment
ne
reveals that the client has a normal blood pressure, increased
la
sh
Sp
la
Sp
, ne
sh
heart rate, decreased bowel sounds, and cold, clammy skin. The
ne
la
nurse's analysis of these data should lead to what preliminary
tz
sh
conclusion? - CORRECT ANSWER-The client is in the
Sp
ne
compensatory stage of shock
la
sh
Sp
ne
Which safety measures would me most important to implement
la
when caring for a client who is receiving 2 units of packed red
tz
sh
bloods cells (PRBCs)? Select ALL that apply - CORRECT ANSWER-
Sp
ne
a. Stop the transfusion if a reaction occurs
la
b. Inspect the blood bag for leaks, abnormal color, and clots
sh
Sp
ne
c. Infuse a unit of PRBCs in < 4 hours
la
tz
sh
Sp
ne
D.H. is diagnosed with hypomagnesemia, which nursing
la
intervention would be appropriate? - CORRECT ANSWER-a.
sh
Sp
Instituting seizure reaction to prevent patient injury
ne
la
tz
sh
Sp
A nurse in the ICU is planning the care of a client who is being
ne
treated for shock. What statement best describes the
la
pathophysiology of this client's health problem? - CORRECT
sh
Sp
ANSWER-a. Cells lack an adequate blood supply and are
ne
deprived of oxygen and nutrient
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
