ATI Med-surg Final Quiz Bank With Solutions

ATI Med-surg Final Quiz Bank With Solutions Dietary teaching for DM - - ask client to ID types of food they prefer Expected findings for a client with DM1 and blood glucose of 48 mg/dL - Weakness, diaphoresis, hunger, nausea, shakiness & confusion Expected findings of hyperglycemia - Dehydration, decreased skin turgor, kussmaul respiration & ketonuria Nursing actions for 72 post-op above the knee amputation - - evaluate and assess residual limb 72 hrs after amputation - assist client to prone for 20-30 minutes q3-4 hrs - apply dressing distal-to-proximal Prevention of uric acid stones - - take allopurinol as prescribed - exercise several times a day - limit intake of foods high in purine - increase fluid intake 2-3 L/day - increase intake of citrus juices Indication of Basilar skull fracture - Clear fluid coming from the nares or ears Indication of cerebral hemisphere injury - Motor loss on 1 side of the body Indication of breast cancer - - non-tender hard lump palpated in 1 breast Education on improving gas exchange in a client with Emphysema - - pursed-lip breathing during dyspnea periods - drink 2,000-3,000 mL of fluids/day - practice diaphragmatic breathing - maintain O2 sat of at least 88% w/ home O2 Nursing actions PRIOR to initiating transfusion of RBC - - assess & document vs - ensure patient has 20-gauge or larger needle - verify with another nurse blood type & Rh is correct - change IV tubing to a set that has a filter on it