ATI RN Adult Medical Surgical Online Practice 2023A

ATI RN Adult Medical Surgical Online Practice 2013A A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site & a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? a. Initiate oxygen at 2L/min via nasal cannula. b. Apply firm pressure to the insertion site. c. Take the client's vital signs. d. Obtain a stat order for an aPTT. - ANS: B b. Apply firm pressure to the insertion site. A nurse is caring for a client who has emphysema & is receiving mechanical ventilation. The client appears anxious & restless, & the high-pressure alarm is sounding. Which of the following actions should the nurse take first? a. Obtain ABGs. b. Administer Propofol to the client. c. Instruct the client to allow the machine to breathe for them. d. Disconnect the machine & manually ventilate the client. - ANS: C C. Instruct the client to allow the machine to breathe for them. The least restrictive intervention should be used first. A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect? a. Decreased prothrombin time b. Elevated bilirubin level c. Decreased ammonia level d. Elevated albumin level - ANS: B b. Elevated bilirubin level