ATI RN Adult Medical Surgical 2024
WITH correct answers
Seizure precautions - Ensure client has IV access for seizure medication administration.
Postoperative lab values - Report Hgb level of 8 g/dL to provider as an indicator of
postoperative hemorrhage or anemia.
ESWL procedure - Expect stone fragments in the urine after extracorporeal shock wave
lithotripsy.
Airborne precautions - Initiate airborne precautions for a client with anorexia, low-grade fever,
night sweats, and productive cough, as these are manifestations of tuberculosis.
TPN administration - Administer dextrose 10% in water until new TPN bag arrives to avoid drop
in blood glucose level.
Levothyroxine interaction - Instruct client to avoid taking calcium within 4 hr of levothyroxine
administration, as calcium can interfere with the effectiveness of the medication.
Mechanical ventilation anxiety - Instruct client to allow the machine to breathe for them to
reduce anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - Identify orthostatic hypotension as an adverse effect of enalapril.
Delayed wound healing - Identify urine output of 25 mL/hr as a finding that contributes to
delayed wound healing.
Hypothyroidism and opioid analgesic - Instruct client to void every 4 hours to decrease the risk
of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - Obtain vital signs first when caring for a client who is vomiting blood mixed
with food after a meal, as this indicates a potential rupture of esophageal varices.
Gastrectomy postoperative instructions - Instruct client to avoid drinking fluids with meals, eat
several small meals per day, consume high-protein snacks, and avoid highly seasoned foods.
, Cushing's triad - Identify bradycardia as a component of Cushing's triad in a client with
increased intracranial pressure from a traumatic brain injury.
Client coping with diabetes diagnosis - Recognize the client's change in behavior of inspecting
feet daily as an indication of successful coping with the diagnosis.
Inguinal hernia assessment - Palpate location C to verify the presence of an inguinal hernia.
Rattlesnake bite treatment - Expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
Hemodialysis treatment - Perform a 12-lead ECG, place the client in Trendelenburg position,
administer a 0.9% sodium chloride 200 mL IV bolus, apply oxygen at 2 L/min via nasal cannula,
and notify the provider immediately.
Client rights - Ensure a client signs informed consent before receiving a placebo during a
research trial.
Omeprazole action - Instruct the client that omeprazole provides relief by suppressing gastric
acid production.
Physical therapy referral - Refer a client who is receiving preoperative teaching for a right knee
arthroplasty to physical therapy to begin understanding postoperative exercises and physical
restrictions.
Droplet precautions - Instruct an assistive personnel (AP) to wear a mask when coming within 3
ft of a client who has bacterial meningitis.
Stress incontinence and weight loss - Recommend weight loss to reduce excess abdominal
pressure and mitigate the risk of stress incontinence.
Hypokalemia and bowel sounds - Expect hypoactive bowel sounds in a client with hypokalemia.
Diagnostic results follow-up - Follow up on PCO2 level, WBC count, chest X-ray, and oxygen
saturation level.
Neurological event follow-up - Follow up on visual disturbances, tingling of the lips, hand grasps,
and expressive aphasia.
Testicular self-examination - Instruct the client to roll each testicle between the thumb and
fingers to feel for any lumps deep in the center of the testicle.
Hyperthyroidism assessment - Report blood pressure of 170/80 mm Hg to the provider as a
priority finding.
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