Questions 188

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ATI RN Comprehensive Predictor 2023 Retake 1 Questions

Extract:


Question 1 of 5

A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following actions should the nurse take if a transfusion reaction is suspected?

Correct Answer: C

Rationale: Stopping the transfusion is the first action if a reaction is suspected to prevent further harm. Increasing the rate worsens the reaction, acetaminophen is secondary, and leg elevation is not indicated.

Question 2 of 5

A nurse is reinforcing teaching with a client who has a new prescription for sertraline. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Reporting suicidal thoughts is critical with sertraline, an SSRI, due to increased risk early in treatment. It's taken flexibly, mood improvement takes weeks, and tyramine is unrelated.

Question 3 of 5

A nurse is collecting data from a client who has a history of deep-vein thrombosis. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Unilateral leg swelling is typical in deep-vein thrombosis due to venous obstruction. Bilateral edema suggests heart failure, hypotension is not specific, and fever may occur but is less common.

Question 4 of 5

A nurse is assisting with the care of a client who is postoperative following a cesarean birth. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Early ambulation post-cesarean prevents complications like thrombosis and promotes recovery. Supine positioning is not required, laxatives are per need, and heating pads are contraindicated due to infection risk.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Monitoring for leg cramps is important with hydrochlorothiazide, a diuretic, due to potential hypokalemia. It's taken in the morning, sodium intake is not increased, and weight loss is expected.

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