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ATI Adult Medical Surgical - Post-Assessment Assignment 2023/2024 already graded A+
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ATI Adult Medical Surgical -Post-Assessment Assignment
The nurse is reinforcing teaching about a Transcutaneous Electrical Nerve Stimulation (TENS).
Which of the following statements by the nurse is accurate?
This form of pain management involves tiny needles inserted into the skin and subcutaneous
tissues.This form of pain management focused on a pleasant thought to divert focus.This form
of pain management involves meditation, yoga, and progressive muscle relaxation.This form of
pain management involves mild electrical stimulus applied to the area of pain. - ANSThis form of
pain management involves tiny needles inserted into the skin and subcutaneous tissues.
Incorrect: Rationale: This non pharmacological technique is known as acupuncture.
This form of pain management focused on a pleasant thought to divert focus.
Incorrect: Rationale: This non pharmacological technique is known as Imagery.
This form of pain management involves meditation, yoga, and progressive muscle relaxation.
Incorrect: Rationale: This non pharmacological technique is known as Relaxation.
This form of pain management involves mild electrical stimulus applied to the area of pain.
Correct: Rationale: This non pharmacological technique is known as TENS.(Adult Med Surg RM
Chp. 4)
nurse is reinforcing teaching for a client with hypertension about the importance of compliance
A
with antihypertensive therapy. What are three (3) complications that can occur with prolonged,
untreated or poorly controlled hypertension? - ANSComplications associated with
Hypertension:Peripheral vascular disease that primarily affectsHeart (Myocardial infarction)Brain
(Cerebral Vascular Accident)Eyes (Blindness)Kidneys (Renal insufficiency and Renal
Failure)The risk of developing complications increases as blood pressure increases.Hypertrophy
of the left ventricle can develop as the heart pumps against resistance caused by the
hypertension.(Medical Surgical RM Chp. 31)
The nurse is reinforcing teaching about foot care to the diabetic client. Which of the following
statements should the nurse make?A. "Remove any calluses or corns when they develop."B.
"Do not use any foot powder as a remedy for sweating feet."
C. "Apply lotion to feet and in between toes to keep skin soft."
D. "The best time to perform nail care is after a bath or shower." - ANSD. "The best time to
perform nail care is after a bath or shower."Correct: Rationale: Toenails are soft and easier to
trim after a bath or shower.(Medical Surgical RM Chp. 72)
The nurse is reinforcing teaching regarding the risk of hip dislocation. Describe symptoms the
client might experience with this complication - ANSAcute onset of pain; client's report of
hearing a "pop"; internal rotation of the affected extremity; shortened affected extremity.(Medical
Surgical RM Chp. 60)
, The nurse is collecting a 24-hour urine specimen. What can be measured in the urine from this
form of collection? - ANSurine collected for 24 hr is used to measure urine levels of creatinine or
urea nitrogen, sodium, chloride, calcium, catecholamines, and proteins.(Medical Surgical RM
Chp. 49)
The nurse is completing a morning chart review for the client who was admitted during the night
with Crohn's disease. What would be the expected lab values for this client that would be
indicative of this disease? Please provide expected normal values and indicate if the abnormals
would be decreased, elevated or unchanged. - ANSH&H: decreased. Normal values: Hgb:
12-18g/dL; Hct: 37-52%ESR: Elevated. Normal value: Men under 50 years old: less than 15
mm/hr; Men over 50 years old: less than 20 mm/hr; Women under 50 years old: less than 20
mm/hr; Women over 50 years old: less than 30 mm/hr.WBC: Elevated. Normal value:
5000-10000mm3C-reactive protein: ElevatedPlatelets: Elevated. Normal value:
150,000-450,000 cu/mmFolic Acid and B 12: DecreasedStool for occult blood: May be
positiveUA: WBCs presentK+, Mg, Ca: Decreased Normal values: K+ 3.5-5.5mEq/L; Mg 1.3-2.1
mg/dL; Ca 9.0-10 mg/dL4(Medical Surgical RM Chp. 45)
Based on the following data, what acid-base imbalance would be noted. pH=7.32 PaCO2=58
mmHg HCO3=32 mEq/L PaO2=60 mmHg - ANSRespiratory Acidosis (Medical Surgical RM
Chp. 38)
PN is assisting the RN to prepare an adolescent client for a posterior iliac bone marrow
A
biopsy. What nursing actions should be included in this preparation? - ANSPREPROCEDURE
NURSING ACTIONS FOR BONE MARROW BIOPSY:
●Ensure that the client has provided informed consent.
●Place the client in a prone or side-lying position to expose the iliac crest for the procedure.
●Administer medication to manage discomfort and anxiety.
●Reinforce teaching about the procedure with the client.
CLIENT EDUCATION TO REINFORCE:
●The biopsy site will be anesthetized with a local anesthetic. Pressure and brief pain might be
felt during the aspiration.
●The test will last about 20 min.
●It is important to remain still during the procedure.(Medical Surgical RM Chp. 33)
The nurse is preparing a type II diabetic client for a CT scan using IV contrast. Why would it be
important for the nurse to evaluate the medication administration record for the last dose of
metformin? - ANSThe effects of metformin may increase and cause a serious condition called
lactic acidosis. Symptoms of lactic acidosis include: feeling very weak tired, or uncomfortable,
unusual muscle pain, trouble breathing, unusual or unexpected stomach discomfort, feeling
cold, dizziness or lightheadedness, bradycardia or dysrhythmias.(Medical Surgical RM Chp. 3)
A nurse is reinforcing teaching to a client about Prostate-Specific Antigen testing for cancer
screening. Which of the following statements by the client implies understanding of the
teaching? "I will begin getting this screening done after age 50." "For the PSA screening they
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