Right Side: Jugular vein distention, ascending dependent edema, abdominal distention, polyuria ar rest,
liver enlargement,
2. A nurse is assessing a client who is experiencing renal colic from a calculus in left renal
pelvis. Identify the area where the nurse should expect the client to have referred pain. ( Find
“hot spots” in the artwork) Pain travels downward to the inguinal area and lower back
Renal colic occurs in the kidney area. Referred pain is somEwhere that happens in another
Test Bank Page 1
, ATI practice question for medical surgical
place other than where the pain should be felt.
3. A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in
the dialysate flow rate. Which of the following actions should the nurse take? (Select all the
apply?). Check answer i read pg 644-647 med surg it’s not so specific p. 370 ch 57 pdf
a.
b. Strip the catheter tubing (maybe-?)
c.
d. Raise the client to high fowlers position- they must lie supine
e.
4. Same questions From what version? TYPE AS NEEDED. LOL what a dick
5. A nurse is planning to insert an indwelling catheter for a female client. Which of the
following actions should the nurse plan to take? Ati video tutorials foley
a. Collect urine specimen from the drainage bag 1 hr after insertion- from port, urine that is
statis in the bag for more than 1 hour is contaminated and not good to use for speciemen.
b. Raise the head of the bed to 45 degrees prior to insertion-lithotomy it must be. Female
must be in dorsal rumband which is flat with the legs spread wide.
c.
d. Attach the bag to the rail of the bed. -under.non movable area
A nurse is providing teaching for a client who has age-related macular degeneration which
of the following information should the nurse include in the teaching
A. A possible cause of this problem is long-term lack of dietary protein
B. You probably have a Detachment of your retina -vision is like having curtains over eyes
Test Bank Page 2
, ATI practice question for medical surgical
C.
Test Bank Page 3
, ATI practice question for medical surgical
D. The doctor can perform surgery to correct the start paying the folds in your retina
Rationale: ATI MS: PG. 63 Macular degeneration, often called age?related macular
degeneration (AMD), is the central loss of vision that affects the macula of the eye. NO
cure , happens alot in old people. Sxs: distorted vision, blurred vision, caused by
smoking, female, HTN, diet lacking carotene.
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for
the nurse to report? P . 357 ch 55 pdf Med surge
A.
B. Distended abdomen- expected
C. Alkaline phosphatase 125 units/L -norm normal is 30 -120 D. Clay colored stools- bile not
on your shit
A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a
client for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of
which of the following adverse effects? Old med surge docs we used
A. Hyperglycemia
B. Diarrhea
C. Constipation
D.
TPN
Abruptly discontinuing TPN will cause rebound hypoglycemia
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following
Test Bank Page 4
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