ATI RN Adult Med-Surg 2023 | Nurselytic

Questions 43

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ATI RN Adult Med-Surg 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Dyspnea and fluid imbalance suggest fluid overload; slowing the infusion and notifying the provider are appropriate.

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 2 of 5

A nurse is caring for a client in the emergency department. For each assessment finding, click to specify if the assessment finding is consistent with diabetic ketoacidosis (DKA) or hyperglycemic-hyperosmolar state (HHS). Each finding may support more than 1 disease process.

Correct Answer:

Rationale: Specific answers not provided; B is specific to DKA, D applies to both DKA and HHS.

Question 3 of 5

A nurse is caring for a client in the emergency department. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.

Correct Answer: A,D,E,F

Rationale: DKA can lead to hypotension, arrhythmias, renal failure, and cerebral edema due to dehydration and metabolic imbalances.

Question 4 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 5 of 5

A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?

Correct Answer: B

Rationale: Propofol contains egg lecithin, posing a risk for clients with egg allergies.

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