ati med surg proctored exam review complete latest
dysrhythmias related to hypokalemia
a nurse is contributing to the plan of care for an
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ATI Med-Surg Proctored Exam Review
complete latest update 2024
Respiratory Alkalosis S/S lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for
Osteoporosis. Which intervention should the nurse include to prevent bone loss? Encourage
weight bearing exercises (such as walking because it can help maintain bone mass by reducing
bone demineralization, thus helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following personal
protective equipment should the nurse use? Mask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information
should the nurse include in the teaching? This type of insulin should be given at the same
time everyday. (It is released over a 24hr period)
A home health nurse is reinforcing teaching with a client about preventing complications of
peripheral vascular disease. What statement by the client indicates that they are adhering to the
nurse's instructions? "I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA)
infections in a surgical wound. What information should the nurse plan to share with visitors?
Visitors must don a gown & gloves prior to entering the client's room.
, A nurse is reinforcing teaching with a client who has heart failure and a new prescription for
hydrochlorothiazide. What should the client report to the provider? Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should
the nurse take when communicating with the client? Rephrase client instructions when not
understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client
is exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these
findings as what complication? Pulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a
bone fracture. What finding should the nurse recognize as abnormal? Lack of sensation
between the first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to
begin taking methylprednisolone orally. What should the nurse include in the teaching? Limit
contact with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an
NG tube. What action should the nurse plan to take to decrease the risk of postoperative
complications? Encourage the client to use an incentive spirometer every hour while
awake
A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. What
finding should the nurse expect related to hyperkalemia? Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What provider
prescriptions should the nurse implement first? Initiate oxygen at 4 L/min via nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think
I can go on any longer." What response should the nurse make? "Tell me more about the way
you are feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the nurse
identify as the priority? Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the nurse
perform to reduce skin breakdown? Keep the skin dry and free of perspiration
A nurse is contributing to the plan of care for a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) infections and is on contract isolation precautions. What action
should the nurse take?Have a designated stethoscope in the client's room
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