Virtual ATI Med-Surg Set questions with correct answers

A nurse is administering packed red blood cells to a client. What should the nurse do if a transfusion reaction is suspected? - Answer Stop the infusion. A nurse is caring for a client with skeletal traction following a fracture. How and when should skeletal pin care be provided? - Answer One cotton swab with chlorhexidine is designated for each pin for pin care to be done once a shift. A nurse is providing dietary teaching to a client newly diagnosed with constipation-predominant irritable bowel syndrome. List two (2) teaching points the should share with the client about dietary practices. - Answer Eat foods high in fiber Increase fluids Late Cushing's Triad manifestation - Answer Severe hypertension with widening of pulse pressure and bradycardia Identifying Basal cell cancer - Answer small, waxy nodule with superficial blood vessels, well-defined borders Teaching post Bronchoscopy - Answer assess LOC, cough and gag reflex, and ability to swallow before consuming oral intake Teaching how to prevent transmission of HIV - Answer take antiretroviral medications to inhibit DNA synthesis and Viral replication ABGs Determine imbalance - Answer Blood compatibility: Nursing Actions for Hemolytic transfusion reaction - Answer Remove the blood tubing from the IV access site. Initiate an infusion of 0.9% of sodium chloride using new tubing. Monitor VS and fluid status. Send the blood bag and administrating set to the lab for testing.