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PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2024 B WITH NGN | ATI PN MED SURG EXAM 2024 WITH NGN | REAL EXAM QUESTIONS WITH DETAILED ANSWERS AND ADDED RATIONALES | LATEST UPDATE$19.34
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PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2024 B WITH NGN | ATI PN MED SURG EXAM 2024 WITH NGN | REAL EXAM QUESTIONS WITH DETAILED ANSWERS AND ADDED RATIONALES | LATEST UPDATE
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Course
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2024 B
Institution
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2024 B
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2024 B
WITH NGN | ATI PN MED SURG EXAM 2024 WITH NGN |
REAL EXAM QUESTIONS WITH DETAILED ANSWERS AND
ADDED RATIONALES | LATEST UPDATE
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2024 B
WITH NGN | ATI PN MED SURG EXAM 2024 WITH NGN |
REAL EXAM QUEST...
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2024 B
WITH NGN | ATI PN MED SURG EXAM 2024 WITH NGN |
REAL EXAM QUESTIONS WITH DETAILED ANSWERS AND
ADDED RATIONALES | LATEST UPDATE
A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking
dantrolene to manage muscle spasms. Which of the following interventions should the nurse
include?
Encourage the client to complete ADLs.
R: The nurse should encourage the client to complete ADLs and provide assistance as needed.
Performing self-care increases the client's independence, strength, and level of functioning.
A nurse is assisting with the care for a client who is postoperative following a transurethral
resection of the prostate (TURP) and is receiving continuous bladder irrigation. The nurse notes
decreased output from the urethral catheter. Which of the following provider prescriptions
should the nurse expect?
Irrigate the urethral catheter with 0.9% sodium chloride.
R: The nurse should expect a prescription to irrigate the urethral catheter because this will clear
the tubing of any blood clots or tissue pieces and allow for a better flow.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the
following provider prescriptions should the nurse implement first?
Initiate oxygen at 4L/min via nasal cannula.
Rationale:
The nurse should remind the client to have a pneumococcal immunization at age 65 and every 10
years thereafter to protect them from acquiring pneumonia.
The nurse should collect a sputum culture to identify the organism causing the client's infection.
Antimicrobial sensitivities are obtained from the sputum culture to guide the provider in
prescribing antibiotics. However, there is another prescription the nurse should implement first.
The nurse should administer antibiotics to treat the infection. A broad spectrum antibiotic, such
as ceftriaxone, is administered when sepsis is suspected because it treats both gram-positive and
gram-negative bacteria. After the results of the blood and sputum cultures are obtained, the
,provider will often change to a more specific antibiotic. However, there is another prescription
the nurse should implement first.
The nurse should obtain blood cultures to identify the organism causing the client's infection.
Antimicrobial sensitivities obtained from the blood cultures will guide the provider in
prescribing treatment. However, there is another prescription the nurse should implement first.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the
lower extremities. Which of the following interventions should the nurse include?
Dangle the extremities o the side of the bed.
R: The nurse should include in the plan of care to have the client dangle their lower extremities
off the side of the bed to aid in reducing pain by increasing arterial blood flow. The client should
not raise the lower extremities above the level of the heart when resting in bed because it impairs
arterial blood flow.
A nurse is assisting with the care for a client who reports stomatitis. Which of the following
dietary recommendations should the nurse make?
Eat soft foods
R: The nurse should remind a client who has stomatitis to eat soft, nonirritating foods to decrease
irritation to the oral mucosa.
A nurse is reviewing the medical record for a client who is experiencing nausea and vomiting.
Based on the client data, which of the following actions should the nurse take? (Click on the
exhibit tabs for additional information about the client. There are three tabs that contain separate
categories of data.)
Notify the charge nurse of the client's BUN
R: The client's BUN level is above the expected reference range of 10 to 20 mg/dL, which can
indicate impaired renal function. The nurse should anticipate interventions to restore the client's
fluid volume.
A nurse is assisting with the care for a client who has a methicillin-resistant Staphylococcus
aureus (MRSA) nfection in a surgical wound. Which of the following information should the
nurse plan to share with visitors?
Visitors must don a gown and gloves prior to entering the client's room.
R: The nurse should provide teaching to the visitors regarding the infection control measures for
a client who is on contact isolation precautions. Contact precautions require visitors to put on a
gown and gloves prior to entering the room of a client who has MRS4 to prevent the spread of
infection
, A nurse in a telemetry unit is collecting data from a client who has a newly inserted permanent
pacemaker. Which of the following findings should the nurse report to the provider?
The client experiences hiccups when sitting.
A nurse is reinforcing preoperative teaching with a client.
Which of the following statements by the client indicates an understanding of the teaching?
Select all that apply.
" I will need to do the breathing exercises every 1 to 2 hrs after surgery."
"I will use my PCA medication before my knee starts to hurt too bad."
"I will probably be going home with a walker."
Click to highlight the findings the nurse should report to the charge nurse immediately. To
deselect a finding, click on the finding again.
• Perineal pad is saturated with blood, and large clots are present is correct. The presence of
vaginal bleeding and blood clots is a manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Blood pressure 98/56 mm Hg is correct. Decreased
blood pressure is a manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal hemorrhage. Therefore,
the nurse should report this finding to the charge nurse.
A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen
saturation
90%. Which of the following actions should the nurse take?
Administer oxygen via nasal cannula
R: The nurse should administer oxygen via nasal cannula to a client who reports shortness of
breath and has an oxygen saturation below the expected reference range. The nurse should
continue to monitor the client and adjust the oxygen flow rate as needed.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the nurse
include?
Incontinence of the bowel and bladder.
Rationale:The nurse should inform the caregiver that incontinence of the bowel and bladder is a
manifestation of impending death. Other manifestations include hypotension, bradycardia,
restlessness, and coolness of the skin.
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