Questions 43

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ATI RN Adult Med-Surg 2023 Questions

Extract:

Nurses' Notes
Vital Signs
Laboratory Results
0900:

Client came to the emergency department this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin.

Peripheral IV established and labs drawn.


Question 1 of 5

A nurse is caring for a client in the emergency department. Which of the following provider prescriptions does the nurse anticipate?

Correct Answer: D,E,

Rationale: DKA treatment includes insulin infusion, fluid resuscitation with saline, and monitoring urine output.

Extract:


Question 2 of 5

A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: An interpreter ensures accurate communication during the admission process.

Question 3 of 5

A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Fresh frozen plasma must be administered immediately after thawing to maintain efficacy.

Question 4 of 5

A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the graft?

Correct Answer: A

Rationale: A palpable thrill indicates blood flow through the graft, confirming adequate circulation.

Question 5 of 5

A nurse is caring for a client who is 3 hr postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism?

Correct Answer: C

Rationale: Foot circumduction promotes venous return, reducing thromboembolism risk.

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