ATI MED SURG TEST QUESTIONS - FLUID AND ELECTROLYTES BALANCE AND DISTURBANCE
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Course
ATI MED SURG
Institution
ATI MED SURG
ATI MED SURG TEST QUESTIONS - FLUID AND ELECTROLYTES BALANCE AND DISTURBANCE
ATI MED SURG TEST QUESTIONS - FLUID AND ELECTROLYTES BALANCE AND DISTURBANCE
ATI MED SURG TEST QUESTIONS - FLUID AND ELECTROLYTES BALANCE AND DISTURBANCE
ATI MED SURG TEST QUESTIONS -
FLUID AND ELECTROLYTES BALANCE
AND DISTURBANCE 2024-2025
A Nurse is assessing a client who has acute pancreatic : what would be alarming - ANS Lack of bowel
sounds as it would be inactive of paralytic ilieus....Elevated WBC, nausea , throwing up and jaundice is an
expected finding
what Position to you put a client when inserting a non tunneled percutaneous central venous catheter -
ANS - trendelenburg position for easier access to vessels and to decrease risk of an air emboli .
- patient should remain motionless during procedure
- sterile transparent dressing should be applied to the insertion site
- nurse should cleanse the upper chest or neck for a CVC
PT has intraventricular catheter placed. What findings would indicates client is experiencing increased
intracranial pressure ICP - ANS - sleepiness
- increased systolic with concurrent decrease in diastolic ( widening pulse pressure)
When a type one diabetic is sick , how often should they check their blood glucose, and when should
they call their provider - ANS - every four hours
-if blood glucose reaches 250mg/dl
a PT with a tracheostomy requires suctionining. what is the most important thing to do first - ANS -
preoxygenate client for at least 3o seconds to 3 minutes to prevent hypoxemia.
- nurse should limit each suction to 10/15 seconds to prevent hypoxia and mucosal injury
- suction pressure 80-120 mmHG
- x3 passes for each suction
, Cholecystitis normal finding - ANS pain radiating to the right shoulder
urolithiasis normal finding - ANS flank pain extending to the perineum
peritonitis normal finding - ANS rigid board like abdomen
pancreatitis normal finding - ANS piercing abdominal pain
PT has a saline lock on clients forearm, client reports discomfort and coolness. what is the first most
appropriate action - ANS - assess client, compare the site to the opposite extremity, looking and
measuring for edema as it is an indication of infiltration, then elevate arm and maybe apply a warm
compress to reduce pain, and maybe after take the IV out
a women who is perimenopausal and is going through hormonal replacement therapy is being taught
what signs to report back with ASAP, name 3 - ANS - pain in calf ;DVT
- intense headache and or numbness in the arms as they are both indicative of a possible CVA
Left sided heart failure findings - ANS oliguria DAytime due to decreased blood flow to the kidneys
Right sided heart failure findings - ANS - jugular vein distention, dependent edema, distended abdomen
when peritoneal fluid is sluggish when draining during peritoneal dialysis what should the nurse do the
facilitate the drainage - ANS turn PT on side
- do not push catheter further into abdomen it can cause an infection, and head of bed should be
elevated
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