ATI RN Adult Medical Surgical 2023 V

Extract:

Medical History
HIV
Diagnostic Results
On Diagnosis:
• Total WBC 6,000/mm3 (5,000 to 10,000/mm3)
• Platelet count 154,000/mm3 (150,000 to 400,000/mm3) Sodium 139 mEq/L (136 to 145 mEq/L)
• Potassium 4.2 mEq/L (3.5 to 5 mEq/L)
• BUN 16 mg/dL (10 to 20 mg/dL)
3 Month Visit:
• Total WBC 5,500/mm3 (5,000 to 10,000/mm3)
• Platelet count 112,000/mm3 (150,000 to 400,000/mm3)
• Sodium 136 mEq/L (136 to 145 mEq/L)
• Potassium 3.8 mEq/L (3.5 to 5 mEq/L)
• BUN 18 mg/dL (10 to 20 mg/dL)

Question 1 of 5

A nurse in a health clinic is caring for a client. Drag 1 condition and 1 client finding to fill in the following sentence. The client is at risk for developing....... due to....

A. Renal Failure B. Bleeding C. Dysrhythmias D. White blood cell count E. Potassium Level F. Platelet count G. Sodium level

Correct Answer: B,F

Rationale: Low platelet count (112,000/mm³) increases bleeding risk, a concern in HIV due to bone marrow suppression.

Extract:

Question 2 of 5

A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?

A. Antithrombotic B. Opioid analgesic C. Anticonvulsant D. Diuretic

Correct Answer: A

Rationale: Antithrombotics prevent further clot formation, reducing the risk of recurrent ischemic stroke.

Question 3 of 5

A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

A. Sterile gloves are required when administering an IM injection. B. I should wear a gown to remove linens from a client's bed. C. I should wear goggles when irrigating a wound. D. I should use both hands to recap a needle.

Correct Answer: C

Rationale: Goggles protect against splashes during wound irrigation, a key PPE use to prevent infection.

Question 4 of 5

A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?

A. Repair of a torn rotator cuff B. Thyroidectomy C. Internal fixation of a fractured hip D. Tympanoplasty

Correct Answer: C

Rationale: Hip fracture fixation carries a high risk for fat embolism due to bone marrow disruption during surgery.

Question 5 of 5

A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?

A. Instruct the client to use their elbows to reposition. B. Provide the client with a trapeze bar. C. Remove the weights before changing the client's bedlinens. D. Check pressure points every 12 hr.

Correct Answer: B

Rationale: A trapeze bar assists with safe repositioning, reducing strain on the traction system and promoting comfort.

ATI RN Adult Medical Surgical 2023 V | Nurselytic

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