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ATI Nur201 FA2 Med Surg 2 Exam Questions

Question 1 of 5

A nurse is caring for a client who is undergoing peritoneal dialysis. What should the nurse report IMMEDIATELY to the provider?

Correct Answer: C

Rationale: Cloudy opaque colored outflow indicates possible peritonitis, an infection of the peritoneum, which is a serious complication requiring immediate medical attention.

Question 2 of 5

The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which client should the nurse assign to the LPN? (Select all that apply)

Correct Answer: A,B,C

Rationale: LPNs can reinforce teaching, perform routine dressing changes, and administer IV medications, which are within their scope of practice.

Question 3 of 5

A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)

Correct Answer: A,C,D

Rationale: A high purine diet, diuretic use, and starvation dieting increase uric acid levels, contributing to gout risk. Being well-hydrated and having a normal BMI reduce risk.

Question 4 of 5

The nurse is caring for a patient with a blood pressure of 88/50 and symptomatic. The nurse recognizes which nursing action is a priority?

Correct Answer: B

Rationale: Administering a bolus of IV fluids is the priority to increase blood volume and stabilize blood pressure in symptomatic hypotension.

Question 5 of 5

A client with multiple myeloma receiving chemotherapy has a temperature of 102.2 degrees Fahrenheit. The temperature was 99.2 degrees Fahrenheit six hours ago. The PRIORITY nursing intervention is to:

Correct Answer: A

Rationale: Administering an antipyretic to reduce the fever and notifying the primary health care provider are the priority actions. A rapid rise in temperature could indicate a serious infection.

Similar Questions

A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)
The nurse is performing a neurological assessment on the older adult. An expected finding is that:
The nurse is assessing a client's eyes and notes that when the client looks at a near object, the pupil constricts, but when the client looks at an object in the distance, the pupil dilates. The nurse should identify this finding as which condition?
The nurse is teaching a client with newly diagnosed asthma. Which instructions should the nurse include to reduce the likelihood of an asthma attack? (Select all that apply)
While assessing an older adult client, the nurse notes that the client has old and new ecchymotic areas on the extremities and buttocks upon admission. The client states to the nurse in confidence that the family members frequently hit him. Which therapeutic statement should the nurse communicate in response?

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