Exam (elaborations)

ATI Med Surg

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ATI Med Surg

Institution
ATI Med Surg

A nurse is assessing a client who has a diagnosis on colon cancer which of the following should the nurse expect? a) Statorrhea b) Elevated hemoglobin c) Hematochezia d) Weight gain Hematochezia A nurse is assessing a client admitted with peripheral vascular disease,. Which of the followi...

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Number of pages 29
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Type Exam (elaborations)
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ati med surg

Institution ATI Med Surg
Course ATI Med Surg

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ATI Med Surg
Study online at https://quizlet.com/_g4l6kl

A nurse is assessing a client who has a
diagnosis on colon cancer which of the
following should the nurse expect?
a) Statorrhea Hematochezia
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain
A nurse is assessing a client admitted
with peripheral vascular disease,. Which
of the following findings indicates a ve-
nous vascular disorder?
Edema of the ankle
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
A nurse is assessing a client who has
pericarditis. In which of the following ar-
eas of the client's chest should the nurse
place the stethoscope to best hear a
pericardial friction rub? D) apical pulse
A) right 4th intercostal
B) left 4th intercostal
C) right nipple line
D) left lower sternal boarder
A nurse is caring for a client who has a
chest tube. The client asks why the fluid
in the water-seal chamber rises and falls.
Which of the following statements should
the nurse make?
a) " this means your lung is fully expand- d) " Your breathing pattern causes this"
ed "
b) " this indicates a possible leak"
c) " suction pressure that is too high
causes this"
d) " Your breathing pattern causes this"

A community health nurse is reviewing
home care instructions with an older

, ATI Med Surg
Study online at https://quizlet.com/_g4l6kl
adult client who has a new diagnosis of
heart failure. Which of the following is the
priority topic for the nurse to review with
the client?
C) changes in weight
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record
A nurse is teaching a client about the use
of transcutaneous electrical nerve stimu-
lation (TENS) unit. Which of the following
statements should the nurse include?
a) "Apply lotion to the site prior to attach-
ing the electrodes"
d) "adjust the dial until you feel a 'pins
b) " this device requires access to a 220
and needles' sensation"
volt outlet"
c) ' this device delivers heat via elec-
trodes that are attached to the effected
area"
d) "adjust the dial until you feel a 'pins
and needles' sensation"
A nurse is providing teaching to a client
who is postoperative following a total hip
arthroplasty. Which of the following state-
ments should the nurse make?
a) " use raised toilet seat to maintain your
hips above the knees" a) " use raised toilet seat to maintain your
b) " twist at the waist when standing from hips above the knees"
a seated position"
c) "move your stronger leg first when
using a walker"
d) " apply a heating pad to the operative
hip to decrease pain"
A nurse finds a client in bed, unrespon-
sive and breathing. Which of the follow-
ing action should the nurse take first? c) Palpate for the client's carotid pulse
a) Establish IV access
b) Apply blood pressure cuff

, ATI Med Surg
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c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the
client
A nurse is caring for a patient who is ex-
periencing a hypertensive crisis. Which
of the following actions should the nurse
take?
b) Perform neurological assessments
a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's
A nurse is providing discharge teaching
about blood sugar monitoring for a client
who has a new diagnosis of type 2 dia-
betes mellitus. The nurse should instruct
the client to obtain which of the following
c) hand mirror
supplies?
a) Sterile lancets
b) Compression stockings
c) Hand mirror
d) toenail clippers
A nurse is completing discharge teach-
ing to a patient who has a peripherally
inserted central catheter ( PICC) line in
the left arm. Which of the following in-
structions should the nurse include in the
teaching?
c) Use 10- mL syringe to flush line
a) Do not elevate the arm above the level
of the heart
b) Change the catheter dressing daily
c) Use 10- mL syringe to flush line
d) Clean the insertion site using 20- mL
of hydrogen peroxide
A nurse is preparing naloxone 10 mcg/kg
via IV bolus to a client who weights 220
lbs. the amount available is 0.4 mg/mL . 2.5ml
how many mL should the nurse adminis-
ter? ( round to the nearest tenth)

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