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ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1 & 2 ALL 100 QUESTIONS AND CORRECT FULLY EXPLAINED SOLUTIONS AND RATIONALES| THE NEWEST 2024 EDITION!!$15.99
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A. "Wait6at6least656minutes6between6puffs6from6the6same6inhaler"
B. "Breathe6in6rapidly6when6inhaling6the6medication"
C. "Clean6the6plastic6inhaler6cap6weekly6with6cold6water"
D. "Shake6the6inhaler6vigorously6prior6to6use"6-6ANSWER-
D6.)6"Shake6the6inhaler6vigorously6prior6to6use"
Thoroughly6shake6the6inhaler6to6disperse6the6medication6because6the6medication6in6t
he6inhaler6can6separate6easily
A. Provide6the6client6with6a6means6of6communication
B. Maintain6the6head6of6the6client's6bed6in6a6flat6position
C. Suction6the6client's6endotracheal6tube6every646hr
D. Perform6oral6hygiene6for6the6client6every686hr6-6ANSWER-
A.)6Provide6the6client6with6a6means6of6communication
,A. Sodium61656mEq/L
B. Potassium65.26mEq/L
C. Urine6specific6gravity61.020
D. Hct662%6-6ANSWER-
C6Urine6specific6gravity61.0206Within6the6expected6rang
e6of61.005-1.030
A. Change6the6client's6position6every626hours
B. Pad6pressure6points6at6the6edges6of6the6client's6cervical6collar
C. Palpate6the6client's6abdomen6for6bladder6distention
D. Assist6the6client6with6quad6coughing6-6ANSWER-
D6Assist6the6client6with6quad6coughing
The6greatest6risk6to6a6client6who6has6a6cervical6spinal6cord6injury6is6an6obstructed6air
way;6the6priority6is6to6ensure6the6client6can6clear6their6airway.6Apply6abdominal6pres
sure6as6the6client6coughs6(quad6coughing)
,B. Hypothermia
C. Dyspnea
D. Bradycardia6-6ANSWER-C6Dyspnea
Dyspnea6is6an6indication6of6possible6transfusion6associated6circulatory6overload,6lea
ding6to6hypertension,6bounding6pulses,6and6confusion.6Dyspnea6can6also6indicate6tr
ansfusion6related6acute6lung6injury6to6an6anaphylactic6response,6which6also6causes6
wheezing,6chest6tightness,6cyanosis,6and6low6BP
A. Hair6loss6on6the6scalp
B. Sweating6at6the6treatment6site
C. Altered6taste6sensations
D. Intolerance6to6cold6-6ANSWER-
C6Altered6taste6sensations6Altered6taste6is6a6result6of6the6release6of6
metabolites6by6dead6cells
A. Obtain6pre-transfusion6temperature
B. Prime6the6IV6tubing6with6lactated6Ringer's
C. Instruct6an6assistive6personnel6to6monitor6the6client6during6the6transfusion
D. Verify6the6client's6blood6type6with6a6second6nurse
E. Use6a6206gauge6IV6needle6for6venous6access6-6ANSWER-
A,6D,6E6A,6complete6assessment6prior6to6transfusion
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