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ATI 24 Spns 126 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: A,D

Rationale: Monitoring the puncture site for hematoma and encouraging fluid intake are crucial to detect complications and replenish cerebrospinal fluid, reducing the risk of post-lumbar puncture headache.

Question 2 of 5

A nurse is preparing to administer 0.9% sodium chloride IV infusion 1000 mL bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. (Use a leading zero if it applies. Do not use a trailing zero))

Correct Answer: A

Rationale: 1000 mL ÷ 200 mL/hr = 5 hours. The infusion will take 5 hours.

Question 3 of 5

A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Osteoarthritis is a degenerative joint disease due to aging and cartilage disintegration, as correctly understood.

Question 4 of 5

A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

Correct Answer: C

Rationale: Elevated BUN (35 mg/dL) and serum creatinine (8 mg/dL) are consistent with impaired kidney function in chronic kidney disease.

Question 5 of 5

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client:

Correct Answer: D

Rationale: Polyuria is a symptom of hyperglycemia, and effective diabetes management aims to reduce such symptoms.

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