ATI RN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?

A. Strawberries B. Shellfish C. Avocados D. Eggs

Correct Answer: D

Rationale: Egg allergies are linked to potential propofol reactions due to its egg-based emulsion.

Question 2 of 5

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?

A. Apply a cold compress to the suprapubic area. B. Secure the urinary catheter to the upper left quadrant of the client's abdomen. C. Use 0.9% sodium chloride to perform an intermittent bladder irrigation. D. Encourage the client to urinate every 2 hr.

Correct Answer: C

Rationale: Intermittent irrigation relieves bladder spasms by clearing clots or obstructions.

Question 3 of 5

A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?

A. Titrate IV fluids to maintain urine output at 75 mL/hr. B. Administer an opioid pain medication, C. Change dressings over the entrance and exit wounds. D. Obtain an ECG

Correct Answer: D

Rationale: Obtaining an ECG first assesses for cardiac arrhythmias caused by electrical injury.

Question 4 of 5

A nurse is caring for a client who has pulmonary edema and a new prescription for furosemide 40 mg IV twice daily. Which of the following client findings indicates the prescription is appropriate?

A. Blood pressure 100/70 mm Hg B. Vesicular breath sounds over the peripheral lung fields C. Bilateral coarse, crackle breath sounds D. Potassium 3.2 mEq/L (3.5 mEq/L to 5.0 mEq/L)

Correct Answer: C

Rationale: Bilateral coarse crackles are hallmark signs of pulmonary edema, caused by fluid leaking into alveoli from increased left heart pressure. Furosemide, a loop diuretic, reduces this fluid by enhancing renal excretion, relieving lung congestion. This finding directly correlates with the drug's purposeâ€”removing excess fluid to improve oxygenation and reduce respiratory distress. A. Blood pressure of 100/70 mm Hg may suggest fluid overload but is not specific. B. Vesicular sounds indicate healthy lungs, not requiring diuretics. D. Low potassium is a side effect, not an indication.

Question 5 of 5

A nurse is teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply)

A. You will take medication for this condition for several months B. This condition can cause you to gain weight C. We will perform laboratory tests to monitor the effect of your medication D. You might notice that you perspire more with this condition E. You will need to eat a high-fiber diet to prevent complications of this condition

Correct Answer: B,C,E

Rationale: B. Hypothyroidism slows metabolism, leading to weight gain due to reduced calorie burning. C. Regular TSH and T4 tests monitor levothyroxine effectiveness, guiding dose adjustments. E. A high-fiber diet prevents constipation, a common complication from slowed gastrointestinal motility. A. Treatment is lifelong, not temporary, making this misleading. D. Increased perspiration is a hyperthyroidism symptom, not hypothyroidism.

ATI RN Adult Medical Surgical 2023 | Nurselytic

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