Questions 49

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ATI nur 242 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse in the emergency department is monitoring a client who is receiving vincristine through a peripheral line. The nurse should monitor the client for which of the following complications indicating the need to stop the infusion?

Correct Answer: A,B,E

Rationale: Resistance to flow , pain/swelling/redness , and no blood return indicate extravasation, requiring infusion stoppage. Anxiety/depression and nausea/vomiting are unrelated to IV complications.

Question 2 of 5

A nurse is caring for a client who has a history of Addison's disease and is in Addisonian crisis. The client is lethargic. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Administering corticosteroids treats Addisonian crisis. Low-carb diets are inappropriate. Weighing is secondary. Fluid restriction is harmful; hydration is needed.

Question 3 of 5

A nurse is admitting a child who has a total WBC count of 1200. Which of the following clients should the nurse place in the same room with this child?

Correct Answer: D

Rationale: A child with nephrotic syndrome poses minimal infection risk, suitable for a roommate with low WBC. Rheumatic fever , ruptured appendix , and cystic fibrosis carry higher infection risks.

Question 4 of 5

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Muscle wasting and osteoporosis are expected due to cortisol's catabolic effects. Diaphoresis is not typical. Hypertension, not hypotension , is common. Weight gain, not loss , occurs.

Question 5 of 5

A nurse is caring for an older client on a medical-surgical unit. Which of the following interventions should be included in the plan of care?

Correct Answer: A

Rationale: Monitoring hydration status is critical for older adults to prevent dehydration-related complications. Physical activities may not always be safe. Medication administration is standard, not specific to older adults. Dietary education is secondary to immediate hydration needs.

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