Questions 89

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ATI Med Surg Exam 2 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?

Correct Answer: B

Rationale: Corticosteroids increase potassium excretion, risking hypokalemia. Hyperkalemia, hypomagnesemia, and hypermagnesemia are less likely.

Question 2 of 5

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Correct Answer: A

Rationale: Iron supports red blood cell production with epoetin alfa. Sodium, potassium, and protein need careful management in CKD.

Question 3 of 5

A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?

Correct Answer: B

Rationale: Corticosteroids increase potassium excretion, risking hypokalemia. Hyperkalemia, hypomagnesemia, and hypermagnesemia are less likely.

Question 4 of 5

A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk for urinary retention? (Select all that apply.)

Correct Answer: A,C,D,E

Rationale: Multiple sclerosis, constipation, Parkinson's, and pelvic organ prolapse impair bladder function, causing retention. Streptococcal infection is unrelated.

Question 5 of 5

A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complications?

Correct Answer: C

Rationale: Dialysis disequilibrium syndrome, common after initial hemodialysis, causes headache, nausea, and restlessness. Air embolism, septicemia, and peritonitis have different symptoms.

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