ATI Med Surg Custom N235 Final Summer 2023 | Nurselytic

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ATI Med Surg Custom N235 Final Summer 2023 Questions

Question 1 of 5

A nurse is monitoring a client who was admited with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

Correct Answer: B

Rationale: A decrease in heart rate indicates adequate fluid replacement, as tachycardia is a compensatory response to hypovolemia in burn patients.

Question 2 of 5

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

Correct Answer: A

Rationale: Dopamine increases systolic BP by improving cardiac output in left ventricular failure.

Question 3 of 5

A nurse is caring for a client who has acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)

Correct Answer: B,D,E

Rationale: Severe dyspnea and hypotension (listed twice) are key signs of ARF due to impaired gas exchange.

Question 4 of 5

A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Elevating the head (high-Fowler's) is the first step to lower BP in autonomic dysreflexia.

Question 5 of 5

A nurse is caring for a client who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 24

Rationale: Calculation: (1,200 units/hr ÷ 25,000 units) × 500 mL = 24 mL/hr. This is the correct infusion rate for the prescribed dose.

Similar Questions

The nurse in a trauma unit has received a report on a client who has multiple injuries following a motor vehicle crash. Which of the following actions should the nurse plan to take first?
A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face Hokkaido, and both forearms. Which of the following is the priority action the nurse should take?
A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?
A nurse is caring for a female client in the emergency department who reports shortness of breath and pain in the lung area. She states that she started taking birth control pills 3 weeks ago and that she smokes. Her heart rate is 110/min, respiratory rate 40/min, and blood pressure 140/80 mm Hg. Her arterial blood gases are pH 7.50, PaCO2 29 mm Hg, PaO2 60 mm Hg, HCO3 20 mEq/L, and SaO2 86%. Which of the following is the priority nursing intervention?

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