The nurse working on a surgical unit has been made aware of the following client situations. The nurse should first see the client who had a

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Medical Surgical Endocrine ATI Quizlet Questions

Question 1 of 5

The nurse working on a surgical unit has been made aware of the following client situations. The nurse should first see the client who had a

Correct Answer: C

Rationale: Nose blowing post-hypophysectomy risks CSF leak or increased ICP, requiring immediate attention.

Question 2 of 5

The RN has just received change-of-shift report on the med-surg unit. Which client will need to be assessed first?

Correct Answer: D

Rationale: Muscle twitching post-parathyroidectomy suggests hypocalcemia, a priority due to seizure risk.

Question 3 of 5

A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following is the most appropriate nursing intervention to perform next?

Correct Answer: B

Rationale: Hypokalemia (2.5 mEq/L) must be corrected before insulin, as insulin drives K+ into cells, worsening hypokalemia.

Question 4 of 5

The nurse is assigned to care for a client who had a thyroidectomy 24 hours ago. On initial assessment which finding requires the most immediate action by the nurse?

Correct Answer: C

Rationale: Stridor indicates airway obstruction, a medical emergency post-thyroidectomy requiring immediate action to maintain airway patency (e.g., suction, tracheostomy).

Question 5 of 5

The nurse is assessing a client who has hyperthyroidism and is at risk for developing thyroid storm. It would be necessary for the nurse to notify the primary health care provider (PHCP) if the client

Correct Answer: B

Rationale: Fever (e.g., 100.8°F) in hyperthyroidism signals thyroid storm, requiring immediate PHCP notification.

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