ATI MED SURG PROCTORED EXAM 2019 RETAKE WITH NGN Questions and Answers (Verified Answers) GRADED A UPDATED 2023 BRAND NEW WITH RATIONALES LATEST

1NGN 000:Client presents to the ED with visual disturbances, expressive aphasia, and numbness and tingling of the lips. Manifestations started about 30 min ago. Client reports flashing lights in their vision, especially on the right side. Client's partner states the client had some difficulty with finding words when speaking. Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker than left. Client denies pain.1045:Client states the flashing lights, numbness, and tingling in the lips have gone away. Client states they now have throbbing pain behind the left eye, photophobia, and nausea. Client is requesting medication for pain that is 7 on a scale of 0 to 10. Hand grasps are equal and strong bilaterally.1300:Client reports pain as 2 on a scale of 0 to 10 and nausea has resolved. Provided client with discharge instructions regarding sumatriptan and migraine triggers.…CORRECT ANSWER100% - "Foods that contain tyramine might trigger my headaches" is correct. "I will keep a food and headache diary" is correct. "I will place a cool cloth on my forehead when I experience a migraine" is correct. "I will take the sumatriptan once every day" is incorrect. "I should stay awake until my headache is gone" is incorrect. 0530: Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for bruit. Lung sounds clear upon auscultation; client denies shortness of breath. No peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses. AVF access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is initiated.0600: Client is reading a book. Access is visible, and lines are secure. Client reports no discomfort or pain.0630: Client reports feeling warm, nauseated, and lightheaded; appears restless and slightly confused.…CORRECT ANSWER100% - Perform a 12-lead ECG is not indicated. Place the client in Trendelenburg position is indicated.