Medical Surgical Proctored ATI Exam A

Medical Surgical Proctored ATI Exam A A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following lab results to be BELOW the expected reference range? A. Amylase B. Alkaline phosphatase C. Bilirubin D. Calcium Correct answer- D. Calcium A client who has pancreatitis is expected to have a DECREASED calcium and magnesium d/t fat necrosis. The other options would all be increased. A nurse is caring for a client who has DKA. Which of the following lab findings should the nurse expect? A. negative urine ketones B. BUN 32 mg/dL C. pH 7.43 D. HCO3 23 mEq/L Correct answer- B. BUN 32 mg/dL DKA results in osmotic diuresis and subsequent dehydration. The nurse should expect a client who has DKA to have elevated BUN, creatinine, and specific gravity levels resulting from the excess glucose present in the urine. A. DKA causes ketones in the urine and blood. C. You would expect the pH to be 7.35 (because of the production of ketones) D. You would expect HCO3 15 d/t increased production of ketones causing metabolic acidosis. A nurse is providing d/c instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? A. Change the dressing q 72 hr. B. Immobilize the hand with a pressure dressing. C. Take pain medication 30 min after changing the dressing. D. Wrap fingers with individual dressings