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ATI RN ADULT MEDICAL SURGICAL CMS EXAM 2023 WITH NGN QUESTIONS AND ANSWERS WITH RATIONALES/ ngn CMS ATI RN MEDICAL SURGICAL PROCTORED EXAM 2023/2024 (NEW!)$30.99
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ATI RN ADULT MEDICAL SURGICAL CMS EXAM 2023 WITH NGN QUESTIONS AND ANSWERS WITH RATIONALES/ ngn CMS ATI RN MEDICAL SURGICAL PROCTORED EXAM 2023/2024 (NEW!)
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Course
ATI RN ADULT MEDICAL SURGICAL CMS
Institution
ATI RN ADULT MEDICAL SURGICAL CMS
ATI RN ADULT MEDICAL SURGICAL CMS EXAM 2023 WITH NGN QUESTIONS AND ANSWERS WITH RATIONALES/ ngn CMS ATI RN MEDICAL SURGICAL PROCTORED EXAM 2023/2024 (NEW!)
ATI RN ADULT MEDICAL SURGICAL CMS
EXAM 2023 WITH NGN QUESTIONS AND
ANSWERS WITH RATIONALES/ ngn CMS
ATI RN MEDICAL SURGICAL PROCTORED
EXAM 2023/2024 (NEW!)
A nurse is caring for a client who has COPD.
Nurses' Notes
0800:
The client is lying in bed with the head of bed elevated to 45°. The client appears
to be underweight and has generalized pallor and clubbing on fingers. Lung sounds
are decreased throughout with inspiratory wheezes. Heart rate is regular. Albuterol,
indacaterol, and methylprednisolone given with breakfast.
0830:
The client is sitting up in bed. Shortness of breath is noted, inspiratory and
expiratory wheezing.
Vital Signs
0800:
Temperature 36.7° C (98° F)
Heart rate 76/min
Respiratory rate 30/min
BP 110/74 mm Hg
Pulse oximetry 88% 2 L oxygen via nasal cannula
0830:
Temperature 36.7° C (98° F)
Heart rate 86/min
Respiratory rate 35/min
BP 100/78 mm Hg
pg. 1
,Pulse oximetry 90% 2 L oxygen via nasal cannula
Medication Administration RecordAlbuterol aerosolized 5 mg in 3 mL saline every
1 hr PRN
Indacaterol 75 mcg inhaled once a day @ 0800
Methylprednisolone 100 mg IV every 6 hr @ 0200, 0800, 1400, 2000
Ceftazidime 1 g IV every 12 hr @ 0900, 2100
Click to highlight the actions the nurse should take. To deselect a finding, click on
the finding again.
Change oxygen delivery system to a non-rebreather mask.
Assist the client
Assist the client with controlled coughing.
Instruct the client to use pursed lip breathing.
Obtain an order for an additional dose of albuterol.
Graphic Record
1000:Temperature 36.8° C (98.4° F)Heart rate 98/minRespiratory rate
18/minBlood pressure 134/75 mm HgOxygen saturation 98% on room air
History and Physical
History of mild anxiety and depression
History of high cholesterol, which is diet controlled
Family history of coronary artery disease, hyperlipidemia, epilepsy, and migraines
Nurses' Notes
1000: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.
pg. 2
,Client is alert and oriented x 3 and appears anxious. No facial drooping noted.
Right hand grasp is weaker than left. Client denies pain.
Select 4 findings that require follow-up by the nurse:
Expressive aphasia
Pain
Orientation
Visual disturbances
Tingling of the lips
Hand grasps
Blood pressure
Expressive aphasia
Visual disturbances
Tingling of the lips
Hand grasps
Visual disturbances is correct. Visual disturbances are manifestations of a
neurological event. Therefore, the nurse should follow-up on this finding.
Blood pressure is incorrect. The client's blood pressure is within the expected
reference range. Therefore, this finding does not require follow-up by the nurse.
Tingling of the lips is correct. Tingling in the face is a manifestation of a
neurological event. Therefore, the nurse should follow-up on this finding.
Orientation is incorrect. The client is alert and orientated x3, which is an
expected finding. Therefore, this finding does not require follow-up by the nurse.
Hand grasps is correct. The client's hand grasps are unequal, which could
indicate a neurological deficit. Therefore, this finding requires follow-up by the
nurse.
Expressive aphasia is correct. Expressive aphasia is a manifestation of a
neurological event. Therefore, the nurse should follow-up on this finding.
pg. 3
, Pain is incorrect. The client denies pain. Therefore, this finding does not require
follow-up by the nurse.
A nurse is caring for a client in a prenatal clinic.
Nurses Notes
28 weeks of gestation:
The client reports they can feel the baby kick every hour. The client also reported
that they get headaches weekly.
30 weeks of gestation:
The client reports a constant headache for the last 3 days that is unrelieved by
acetaminophen. The client also reports blurred vision, right side upper abdominal
pain, and decreased fetal movement.
History and Physical
28 weeks of gestation:
Fundal height 26 cm
80.5 kg (177 lb) client has gained weight since visit 2 weeks ago
Deep tendon reflexes 2+
Negative clonus
1+ pitting pedal edema
Swelling of the hands
30 weeks of gestation:
Fundal height 26 cm
82.7 kg (182 lb) client has gained weight since visit 2 weeks ago
Epigastric pain
Deep tendon reflexes 3+
Positive clonus
3+ pitting pedal edema
Swelling of the face and hands
Diagnostic Results
30 weeks of gestation:
pg. 4
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