RN VATI Adult Med Surg
A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the
following mechanisms should the nurse identify as responsible for this acid-base imbalance? -
ANS-Retention of carbon dioxide
A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage
system. Which of the following findings should the nurse report to the provider? - ANS-Constant
bubbling in the water seal chamber.
A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following
findings should the nurse identify as a manifestation of cardiac tamponade? - ANS-Paradoxical
pulse.
A nurse is assessing a client who has an exacerbation of diverticular disease. In which of the
following quadrants should the nurse anticipate the client to be experiencing abdominal pain? -
ANS-LLQ
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings
should the nurse expect? - ANS-Osteoporosis
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse identify as a manifestation of left-sided HF? - ANS-Frothy sputum
A nurse is assessing a client who has suspected appendicitis. Which of the following
manifestations should the nurse expect? SATA - ANS-Elevated WBC
Rebound tenderness
Anorexia
A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of
the following findings is an indication to the nurse that the client is experiencing an adverse
effect of the therapy? - ANS-Skin Changes
A nurse is assessing a client who takes salmeterol to treat moderate asthma. Which of the
following findings should indicate to the nurse that the medication has been effective? -
ANS-The client's daily peak expiratory flow (PEF) measures 85% above personal best.
A nurse is assessing a client's ECG strip and notes an irregular heart rate of 98 pbm with no
clear p waves. Which of the following cardiac dysrhythmias should the nurse document? -
ANS-A fib
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