Questions 49

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ATI Nurs285 Med Surg Exam Questions

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Question 1 of 5

A nurse is caring for a client who has asthma and is taking Beclomethasone. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: D

Rationale: Oral candidiasis is a common adverse effect of inhaled corticosteroids like Beclomethasone due to local immune suppression in the oral mucosa. Other options are not typical side effects.

Question 2 of 5

A nurse is assessing the respiratory status of a client who has suffered a fractured rib. Which observation, if made by the nurse, would not be directly related to the fractured rib?

Correct Answer: A

Rationale: Pleural effusion on the unaffected side is not directly related to a fractured rib and is likely caused by another condition, such as infection or malignancy. Shallow breathing, guarding, and localized pain are expected with rib fractures.

Question 3 of 5

A patient on prolonged bedrest following a pelvic fracture becomes dyspneic and confused. Pulse = 135 beats/minute, blood pressure = 90/50 mmHg, respirations = 36/minute, Oxygen saturation starts dropping rapidly. Which of the following conditions should the nurse prepare to treat for this patient?

Correct Answer: C

Rationale: The patient's symptoms (dyspnea, confusion, tachycardia, hypotension, and desaturation) after prolonged bedrest suggest pulmonary embolism, a life-threatening condition requiring urgent treatment.

Question 4 of 5

A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?

Correct Answer: B

Rationale: Heparin, an anticoagulant, is administered to prevent further clot formation in pulmonary embolism, stabilizing the patient.

Question 5 of 5

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Correct Answer: C

Rationale: Administering a short-acting B2-agonist (SAB
A) is the priority to rapidly relieve bronchospasm and improve airflow in status asthmaticus, a life-threatening condition.

Similar Questions

A client receiving low molecular weight heparin subcutaneously to prevent DVT following hip replacement surgery reports to the nurse that she observed small purple hemorrhagic areas on the right and left sides of the abdomen. Which action should the nurse implement?
A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min?
During assessment of a client on the respiratory unit, the pulse oximetry monitor indicates a drop of SpO2 from 98% to 87% over four hours in a client who previously had normal range oxygen saturation level. Which of the following actions should the nurse perform first?
A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?
A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

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