Questions 81

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ATI N 1201222 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose?

Correct Answer: B

Rationale: Calculate: 25 mg/5 mL = 5 mg/mL. For 250 mg, 250 ÷ 5 = 50 mL.

Question 2 of 5

A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hours ago. The nurse should expect which of the following laboratory values to be elevated?

Correct Answer: D

Rationale: Troponin I is the most specific marker for myocardial infarction, indicating cardiac muscle damage. Amylase relates to pancreatitis, AST is less specific, and bilirubin is for liver function.

Question 3 of 5

Which statement is true regarding a transient ischemic attack (TI

Correct Answer: B

Rationale: A TIA warns of ischemic stroke risk due to temporary blood flow disruption. It's less linked to hemorrhagic stroke, resolves within hours (not 72), and causes no infarction.

Question 4 of 5

A client is prescribed antibiotics while pending the results of their wound culture. The nurse understands this method of medication therapy is known as:

Correct Answer: C

Rationale: Empiric therapy involves administering antibiotics based on clinical signs before culture results confirm the infection's cause, aiming to manage infections promptly. Supplemental therapy enhances primary treatment, and replacement therapy restores deficient substances, neither applicable here.

Question 5 of 5

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that the client's peristalsis is returning?

Correct Answer: A

Rationale: Passage of flatus indicates returning gastrointestinal function. Appetite is indirect, hypoactive sounds suggest reduced activity, and distention signals delayed function.

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