Questions 42

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ATI Med Surg Exam Midterm RN 36 1125 Questions

Question 1 of 5

A nurse is caring for a client in the outpatient cardiologist's office. The client is alert and oriented. Lung sounds with crackles are heard bilaterally. Dyspnea is observed on exertion, and heart sounds reveal an S3 gallop. Which of the following findings is the nurse most likely to expect?

Correct Answer: C

Rationale: Pitting edema is a classic sign of fluid retention associated with heart failure, indicated by crackles, dyspnea, and an S3 gallop.

Question 2 of 5

A patient admitted with acute kidney injury due to dehydration has oliguria, anemia, and hyperkalemia. Which prescribed action should the nurse take first?

Correct Answer: A

Rationale: In the case of hyperkalemia, which can cause fatal cardiac arrhythmias, the most immediate nursing action is to place the patient on a cardiac monitor to detect life-threatening changes.

Question 3 of 5

A 42-year-old patient is newly diagnosed with inflammatory bowel disease (IBD). The patient asks, 'Can this be cured?' Which of the following treatment goals are appropriate for a patient with IBD?

Correct Answer: B,C

Rationale: Controlling inflammation and correcting malnutrition are key goals in managing IBD symptoms and improving quality of life.

Question 4 of 5

A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

Correct Answer: D

Rationale: A low-sodium, fluid-restricted diet is appropriate to manage edema and prevent fluid overload in acute glomerulonephritis.

Question 5 of 5

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury ( civiliations should the nurse expect?

Correct Answer: A

Rationale: In prerenal AKI, the kidneys are not receiving enough blood flow. As a result, they cannot filter potassium out of the blood efficiently, leading to hyperkalemia, which is an elevated level of potassium in the blood.

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