ATI Med Surg Nurs 224g | Nurselytic

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ATI Med Surg Nurs 224g Questions

Question 1 of 5

A nurse is assessing a client 15 minutes after administering 2 mg of morphine sulfate via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?

Correct Answer: C

Rationale: A respiratory rate of 8 breaths per minute is significantly low and indicates respiratory depression, which is a serious adverse effect of morphine. The nurse should be concerned about this finding and take appropriate action.

Question 2 of 5

A nurse is assessing a client who has a suspected diagnosis of Guillain-Barre syndrome (GBS). Which of the following questions should the nurse ask the client?

Correct Answer: B

Rationale: A recent influenza infection is relevant because GBS is often preceded by an infection, such as a respiratory or gastrointestinal viral infection. The immune system's response to this infection may mistakenly attack peripheral nerves, leading to GBS.

Question 3 of 5

A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?

Correct Answer: C

Rationale: An MRI of the chest should be clarified with the healthcare provider because MRI can interfere with pacemaker function. Patients with pacemakers are generally advised to avoid MRI unless the pacemaker is incompatible, due to the risk of the magnetic field affecting the device's operation.

Question 4 of 5

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). Which of the following complications is the priority for the nurse to monitor?

Correct Answer: B

Rationale: Hemorrhage is a significant risk after TURP and can be life-threatening. It is considered a priority because active bleeding can lead to shock and requires immediate intervention.

Question 5 of 5

A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse an understanding of the procedure?

Correct Answer: B

Rationale: This statement is correct. An oral cholangiogram involves taking an X-ray examination of the gallbladder after the patient has taken an iodine-based contrast agent orally. The procedure is used to diagnose problems related to the gallbladder, such as gallstones or issues with bile flow.

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