ATI N200 Med Surg Exam 5 | Nurselytic

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ATI N200 Med Surg Exam 5 Questions

Question 1 of 5

The oncoming nurse sees that the patient is receiving IV heparin at 7 mL/hr. The concentration of the heparin is 50,000 units in 250 ml of saline. The patient is ordered 1600 units of heparin per hour. The lab calls the oncoming nurse with the result of the patient's activated partial prothrombin time (aPTT) is 37 seconds. What actions will the oncoming nurse take? (SELECT ALL THAT APPLY)

Correct Answer: A,C

Rationale: Notifying the prescriber about the dose and assessing for infiltration ensure appropriate heparin therapy management.

Question 2 of 5

The nurse is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication? (SELECT ALL THAT APPLY)

Correct Answer: C,D,E

Rationale: A medical alert bracelet, electric razor, and regular PT/INR monitoring are crucial for safe warfarin use.

Question 3 of 5

The nurse is caring for a client who is being evaluated for possible deep vein thrombosis of the right extremity. Which laboratory result is of most concern to the nurse?

Correct Answer: D

Rationale: An elevated D-dimer level suggests the presence of a blood clot, making it the most concerning result for possible DVT.

Question 4 of 5

A client is prescribed metronidazole, an antimicrobial agent, orally for 10 days. When performing discharge teaching, which statement(s) should be included in the instruction? (SELECT ALL THAT APPLY)

Correct Answer: A,B,C

Rationale: Completing the full course of antibiotics is essential to ensure the infection is fully treated. Metronidazole can cause a disulfiram-like reaction if alcohol is consumed. Metronidazole can potentially reduce the effectiveness of hormonal contraceptives.

Question 5 of 5

The nurse is caring for a client diagnosed with deep vein thrombosis who suddenly becomes short of breath, anxious and restless. The vital signs are: heart rate 130 beats/minute, respirations 42/minute; blood pressure 100/50 and pulse oximetry is 88% on 2L of oxygen. The nurse's initial action should be to:

Correct Answer: C

Rationale: Elevating the head of the bed improves respiratory effort and oxygenation in a client with suspected pulmonary embolism.

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