ATI Practice A (Medsurg) Questions and Answers | Latest Update
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Course
ATI
Institution
ATI
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client experiencing excessive stools. Which of the following findings is an
adverse effect of this medication?
Hypokalemia
(Lactulose works by stimulating the production of excess stools ...
ATI Practice A (Medsurg) Questions and
Answers | Latest Update
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client experiencing excessive stools. Which of the following findings is an
adverse effect of this medication?
✓ Hypokalemia
(Lactulose works by stimulating the production of excess stools to rid the body of excess
ammonia. These excessive stools can result in hypokalemia and dehydration)
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the
client appears anxious and restless, and the high pressure alarm is sounding. which of the
following actions should the nurse take first.
✓ instruct the client to allow the machine to breath for them.
(When providing client care, the nurse should first use the least restrictive intervention.
Therefore, the first action the nurse should take is to provide verbal instructions and
emotional support to help the client relax and allow the ventilator to work. Clients can
exhibit anxiety and restlessness when trying to "fight the ventilator"
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. which of the following precautions should the nurse include in the
plan of care to prevent pseudomonas aeruginosa infection?
✓ Avoid placing plants and flowers in the patients room.
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and cause
life-threatening complications. The nurse should ensure no one brings live plants or flowers
into the client's room
An older adult client is brought to an emergency department by a family member. Which of
the following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration?
✓ Urine specific gravity is 1.045
A urine specific gravity greater than 1.030 indicated a decrease in urine volume and an
increase in osmolarity, which is a manifestation of hypertonic dehydration.
Skin turgor is unreliable indication of dehydration
RR is to increase if dehydration occurs not decreased
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