ATI RN ADULT MEDICAL SURGICAL 2023 FOR NGN FORM A, B & C ACTUAL EXAM EACH FORM CONTAINS 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES |ALREADY GRADED A+

A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ANSWER Ensure the client has a patient IV. RATIONALE: The nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - ANSWER- Hgb 8 g/dL RATIONALE: The nurse should report an Hgb level of 8 g/dL, which is below the expected reference range and is an indicator of postoperative hemorrhage or anemia. A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ANSWER- Stone fragments in the urine RATIONALE: ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the bladder, and through the urethra during voiding. Following the procedure, the nurse should strain the client's urine to confirm the passage of stones. A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first? - ANSWER- Initiate airborne precautions. RATIONALE: This client is exhibiting manifestations of tuberculosis. The greatest risk in this client situation is for other people in the facility to acquire an airborne disease from this client. Therefore, the first action the nurse should take is to initiate airborne precautions