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Exam (elaborations)

med surg ati proctored exam

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  • Course
  • Med surg ati
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  • Med Surg Ati

med surg ati proctored exam

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  • September 6, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Med surg ati
  • Med surg ati
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codersimon
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A nurse is preparing a client for a lumbar puncture. Which of the following images indicates
the position should the nurse assist the client into for this procedure?




a. Side-lying (THIS IS A DIAGRAM CHOOSE THE PERSON IN A FETAL POSITION)

,A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify
the sequence of steps the nurse should follow.
e. Remain with the client for the first 15 to 30 min of the infusion
a. Obtain venous access using 19-gauge needle
c. Verify blood compatibility with another nurse
d. Initiate transfusion of the unit of packed RBCs
b. Obtain the unit of packed RBCs from blood bank




a. Obtain venous access using 19-gauge needle
b. Obtain the unit of packed RBCs from blood bank
c. Verify blood compatibility with another nurse
d. Initiate transfusion of the unit of packed RBCs
e. Remain with the client for the first 15 to 30 min of the infusion




A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of
the following findings should the nurse expect?
a. Elevated serum calcium
b. Elevated blood glucose
c. Decreased serum amylase
d. Decreased erythrocyte sedimentation rate




b. Elevated blood glucose




A nurse is caring for a client who has a central venous access device and notes the tubing has
become disconnected. The client develops dyspnea and tachycardia. Which of the following

,actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter




d. Clamp the catheter




A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the
following actions should the nurse plan to take?
a. Administer through a 22-gauge IV catheter
b. Prime the IV tubing with 0.45% sodium chloride
c. Complete the transfusion within 2 hour
d. Slow the transfusion rate if the client reports itching




c. Complete the transfusion within 2 hour




A nurse is caring for a client who has an arteriovenous graft. Which of the following findings
indicates adequate circulation of the graft?
a. Dilated appearance of the graft
b. Absence of a bruit
c. Normotensive blood pressure
d. Palpable thrill

, d. Palpable thrill




A nurse is caring for a client who is receiving total parental nutrition through a central line.
The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of
the following actions should the nurse take?
a. Switch the infusion to a 10% dextrose solution
b. Discontinue the infusion and flush the line
c. Decrease the rate of infusion to last until the new bag is available
d. Start an infusion of 0.45% sodium chloride solution




a. Switch the infusion to a 10% dextrose solution




A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation and asks about the purpose of maintaining an elastic bandage around the
residual limb of the extremity. Which of the following is an appropriate response by the
nurse?
a. "the elastic bandage will prevent a post-op wound infection"
b. "the elastic bandage will prevent excessive edema"
c. "the elastic bandage will keep the sutures from loosening"
d. "the elastic bandage will keep you from seeing the surgical site"




b. "the elastic bandage will prevent excessive edema"

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