ATI CAPSTONE MED SURG (VERSION 1 & VERSION 2) LATEST EACH VERSION CONTAINS 120 QUESTIONS AND CORRECT ANSWERS | AGRADE a nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis. what would the nurse expect

ATI CAPSTONE MED SURG (VERSION 1 & VERSION 2) LATEST EACH VERSION CONTAINS 120 QUESTIONS AND CORRECT ANSWERS | AGRADE a nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis. what would the nurse expect to see Correct ans - pH below 7.35 a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3), what should the nurse anticipate as the cause of these s/s Correct ans - HF a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses every 12 hours, available is 6.7 mEq/5mL. how many mL shouldthe nurse administer per dose? Correct ans - 30mL a nurse is caring for a pt in the ED who was just admitted with chest pain,possible acute coronary syndrome. what should the nurse do first? Correct ans - administer sublingual nitroglycerin (treat chest pain to reduce cardiac tissue damage) a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the RRT is at the bedside. what electrical intervention should be usedto correct this dysrhythmia? Correct ans - synchronized cardioversion (tx for afib, SVT, and v tach with a pulse) a nurse is caring for an adult pt who is experiencing delayed wound healing,which of the following interventions should the nurse take? Correct ans - monitor serum albumin levels and notify provider if below 3.5g/dL (lack of protein increases the risk for a delay in wound healing and infection) a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be included? Correct ans - reduce intake of foods high in potassium (potassium clearance is impaired in ESKD) a nurse is caring for a client who has T1DM, the nurse misread the client's morning BG level as 210mg/dL, instead of 120mg/dL and administered theinsulin dose appropriate for a reading over 200mg/dL before the client's breakfast, what action is the nurse's priority? Correct ans - monitorthe client for hypoglycemia a nurse is planning care for a pt who has a new diagnosis of DI, which of thefollowing interventions should the nurse include in the plan of care? Correct ans - check urine specific gravity a nurse is caring for a pt admitted with wheezing and coughing due to an allergic reaction to a newly prescribed medication, what medication shouldbe administered first? Correct ans - albuterol 3mL via nebulizer a nurse is caring for a female client in the ED who reports SOB and pain in the lung area, she states that she started taking BC pills 3 weeks ago and that she smokes, her heart rate is 110/min, RR 40/min, and BP 140/80, herABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what is the priority of nursing interventions Correct ans - administer oxygen viaface mask a nurse is caring for a pt following repair of a fracture, what finding shouldalert the nurse that the pt is experiencing compartment syndrome? Correct ans - unrelieved pain, pallor, pulselessness, numbness, pins andneedles sensation, swelling, tightness of the effected extremity a nurse is administering a tap water enema to a pt who is constipated, during the administration of the enema, the client states he is having abdominal cramps, what action should the nurse take to relieve the client'scomfort Correct ans - lower the height of the solution container a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the nurse take? Correct ans - place the clientsbedside table on the right side of the bed a nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator that this complication is developing? Correct ans - narrowing pulse pressure a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what finding should the nurse expect Correct ans - weak, irregular pulse a nurse is providing teaching for a client who has experienced an acuteepisode of gastritis, what instruction should the nurse include in the teaching? Correct ans - avoid drinking alcohol a nurse at an outpt surgery center is providing discharge teaching to a pt anhis spouse following surgical removal of a cataract, what should the nurse include? Correct ans - the client should wear dark glasses while outdoors