Questions 54

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ATI Nur 112 Med Surg Exam Questions

Extract:


Question 1 of 5

A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?

Correct Answer: A

Rationale: Glucagon is used to treat severe hypoglycemia by stimulating the liver to release glucose, addressing life-threatening low blood sugar levels.

Question 2 of 5

A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?

Correct Answer: D

Rationale: Furosemide can cause electrolyte imbalances leading to arrhythmias. Palpitations and tiredness suggest the need for immediate cardiac monitoring to detect potential life-threatening arrhythmias.

Question 3 of 5

A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?

Correct Answer: C

Rationale: Erythromycin can reduce the effectiveness of oral contraceptives by increasing the metabolism of the hormones, leading to a higher risk of unintended pregnancy. Using an additional form of contraception, such as condoms, is recommended to prevent unintended pregnancy while taking both medications.

Extract:

History and Physical
Nurses Notes
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low. She is always tired, and she has passed out once from a low heart rate. Client has a history of worsening symptomatic bradycardia. History of atrial fibrillation controlled by medication. Has been off anticoagulants for 4 days to prepare for the procedure.


Question 4 of 5

The nurse is evaluating the client's progress and nursing implementations. Bold the words to highlight the findings that would indicate the client has recovered from the adverse drug reaction.

Shaking is lessened.
Client is no longer flushed.
No longer itching.
Anxiety has decreased.
Skin warm and dry.
Heart rate 62 beats/minute
Blood pressure 130/72 mm Hg

Correct Answer: A,B,C,D,E,F,G

Rationale: Resolution of shaking, flushing, itching, anxiety, and normalization of vital signs indicate recovery from the adverse drug reaction.

Extract:


Question 5 of 5

The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results?

Correct Answer: A,D,E

Rationale: Supplements, reduced urine output, and salt substitutes can affect BUN levels, which are relevant to kidney function and laboratory results interpretation.

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