ATI Med Surg 2 Respiratory exam | Nurselytic

Questions 24

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ATI Med Surg 2 Respiratory exam Questions

Extract:

History and Physical
The client has a history of coronary artery disease, type 2 diabetes mellitus, renal failure, and had a renal transplant 6 weeks ago. The client reports worsening fatigue over the last 3 days and loss of appetite but denies nausea or vomiting.
Vital Signs
• Blood pressure: 180/90 mm Hg
• Heart rate: 105/min
• Temperature: 37.1° C (98.8° F)
• Respirations: 18/min, labored
• Pulse oximetry: 94% on 2L nasal cannula
Nurses Notes
The client appears pale on assessment. Lung and heart sounds are within defined limits. The abdomen is tender in the area of the incision from the transplant. Bowel sounds are hypoactive in all four quadrants. Bilateral pedal pulses are +2. The client has +1 edema in bilateral lower extremities. The client reports urinating only twice per 24-hour period for the last 2 days
Diagnostic Results
• BUN: 25 mg/dL (10 to 20 mg/dL)
• Creatinine: 2.0 mg/dL (0.5 to 1.3 mg/dL)
• Hemoglobin: 15 mmol/L (12 to 18 mmol/L)
• Hematocrit: 45% (37% to 52%)
• Potassium: 5.2 mEq/L (3.5 to 5.0 mEq/L)
• Sodium: 145 mEq/L (136 to 145 mEq/L)
Physical Examination Results
The incision site on the abdomen is tender to touch, with mild redness and swelling. The client has bilateral pedal pulses that are +2 and exhibits +1 edema in both lower extremities. The client’s bowel sounds are hypoactive in all four quadrants. The client appears pale, and reports urinating only twice per day for the last 2 days


Question 1 of 5

A nurse is caring for a 65-year-old male client who is admitted to the emergency department for fatigue. Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply)

Correct Answer: A,B,C

Rationale: Tenderness, redness, and swelling at the incision site, edema in the lower extremities, and elevated blood pressure can indicate transplant rejection.

Extract:


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

Correct Answer:

Rationale:

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