ATI RN MEDICAL SURGICAL PROCTORED EXAMS 25 LATEST MULTIPLE VERSIONS EXAMS GRADE A+
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Course
ATI RN MED SURG
Institution
ATI RN MED SURG
Medical Surgical ATI
Lyme Disease
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Understanding of the patient teaching. ANS: My joints ache because I have Lyme disease. Chronic complications memory problem and fatigue
Musculoskeletal: Osteoporosis/Ost...
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ATI RN MEDICAL SURGICAL PROCTORED EXAMS 25
LATEST MULTIPLE VERSIONS EXAMS GRADE A+
ATI RN MEDICAL SURGICAL PROCTORED EXAMS 25 LATEST
MULTIPLE VERSIONS OF THE EXAM A+ GRADED EXAM
Medical Surgical ATI
Lyme Disease
A nurse is providing teaching to a client who has a severe form of stage II
Lyme disease. Understanding of the patient teaching. ANS: My joints ache
because I have Lyme disease. Chronic complications memory problem
and fatigue
Musculoskeletal: Osteoporosis/Osteomyelitis
A nurse is assessing for compartment syndrome in a client who has a
short leg cast. Which of the following findings is a manifestation of this
condition? ANS: Pain that increases with passive movement. Other s/s
diminished pulse or pulselessness and capillary refill greater than 2 seconds
in the affected extremity. Warmth indicates infection.
A nurse is providing postoperative teaching for a client who had a total
knee arthroplasty. Which of the following instructions should the nurse
include? Flex the foot every hour when awake. Avoid placing pillows under
the knee. Elevate the leg when sitting in a chair to reduce edema and pain.
Keep the operative leg in a neutral position when resting in bed
Teaching external fixation device for fracture of lower extremity: use
crutches with rubber tip. Casts/splints/boots applied. Continuous use for 4-6
weeks. Teach wound and pin care. Only provider can adjust.
Post-op open reduction internal fixation of the ankle. What assessment
report: extremity cool on palpation. Other findings to report: pallor, cool
temp, paresthesia
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis.
Which of the following nonpharmacological interventions should the
nurse suggest to the client to reduce pain? Alternate application of heat and
cold to the affected joints. Diet high in nutrients, such as protein, vitamins,
and iron, to promote tissue repair. Elevation of the affected extremities does
not relieve the painful inflammation caused by rheumatoid arthritis.
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Elevation of the extremities can assist with managing the pain of a client
who has peripheral vascular disease. Regular exercise is important to
prevent stiffness.
Caring for a client with hx of a compound fracture, 3 wks ago.
Unexpected finding showing osteomyelitis? ANS: Sedimentation rate. An
increased sedimentation rate occurs when a client has any type of
inflammatory process, such as osteomyelitis.
A nurse is teaching a client about osteoporosis prevention. The nurse
should instruct the client which of the following medications can increase
their risk of developing osteoporosis? ANS: Prednisone. The nurse
should instruct the client that prednisone can increase the risk for
developing osteoporosis due to suppression of bone formation, and an
increase in bone resorption by osteoclasts. Prednisone can also reduce
intestinal absorption of calcium. Conjugated estrogen reduces risk.
Colchicine can cause aplastic anemia.
A nurse is providing education to a client who is at risk for osteoporosis.
Which of the following instructions should the nurse include? Walk for 30
mins four times per week. Other teaching: Glucosamine for pain, avoid
exercises that cause jarring motions, such as jogging, take over-the-counter
calcium supplements.
Procedures
Suctioning client tracheostomy tube. Signs of hypoxia: The client’s
heart rate increases. Coughing is expected. Late signs are diaphoresis and
a decrease in blood pressure and will not be seen now. An increase in blood
pressure is an early sign.
A nurse is caring for a client who has an arterial line. Nursing action to
take? ANS: Place a pressure bag around the flush solution. Arterial line used
for ABG samples and hemodynamic monitoring. Supine, HOB 60 degrees.
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A nurse is assessing a client following the completion of hemodialysis.
Which of the following findings is the nurse's priority to report to the
provider? Restlessness. Expected: inc temp, dec BP, weight loss.
A nurse is providing teaching to a client who has end-stage kidney disease
and is waiting for a kidney transplant. Which of the following information
should the nurse provide? Hemodialysis is sometimes required following
surgery. Transplant can come from a living or deceased donor. Lifelong
immunosuppressive therapy is necessary for the organ recipient. Following
transplant, clients should follow dietary restrictions to prevent rejection.
A nurse is caring for a client who had a nephrostomy tube inserted 12hrs
ago. Report to the doc? ANS: The client complains of back pain. This
indicates the tube may have clogged or is dislodged. Report decrease in UO.
Red tinged urine expected post 12-24hrs
Planning care for a client who is scheduled for a thoracentesis. Nursing
interventions. ANS: Encourage the client to take deep breaths after the
procedure. Other: upright position, arm resting overhead table, local
anesthetic, npo not needed. Resumes activity within 1 hr post procedure.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's inital vital signs were HR 80, BP 130/70, R 16,
and temp 96.8. Which of the following vital sign changes should alert the
nurse that the client might be hemorrhaging? HR 110. one of the first signs
of hemorrhage is an increase in the heart rate from the client's baseline,
which occurs to compensate for blood loss. An early sign of hemorrhage is
a slight increase in the diastolic blood pressure. As bleeding progresses, the
systolic blood pressure will decrease. An increase in blood pressure
postoperatively can indicate that the client is in pain. An increase in the
respiratory rate from the client’s baseline is an indication of hemorrhage. An
increase in temperature from the client’s baseline is an indication of
infection, not hemorrhage.
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