ATI RN Fundamentals 2019 with NGN - Exam 2 | Nurselytic

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ATI RN Fundamentals 2019 with NGN - Exam 2 Questions

Extract:


Question 1 of 5

A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: A,B,D,E

Rationale:
Correct
Answer: A, B, D, E


Rationale:
A: Stop the transfusion - The client is showing signs of fluid overload, which can lead to heart failure. Stopping the transfusion is crucial to prevent further complications.
B: Place the client in high-Fowler's position - This position helps improve lung expansion and oxygenation, aiding in the management of hypoxia.
D: Obtain a prescription for a diuretic - Diuretics help eliminate excess fluid in the body, which is essential in managing fluid overload.
E: Administer oxygen to the client - Hypoxia indicates inadequate oxygen levels in the blood. Providing oxygen is necessary to improve oxygenation and prevent further complications.

Summary:
C: Administer epinephrine to the client - Epinephrine is not indicated for fluid overload or hypoxia in this scenario.
F: No option provided.
G: No option provided.

The correct actions focus on addressing the immediate concerns of fluid overload and

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

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Question 5 of 5

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Rationale:

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