Questions 49

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ATI RN Test Bank

ATI Nurs285 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is providing discharge teaching to a client who has a Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Numbness or pain in the toes may indicate impaired circulation or nerve compression, requiring immediate attention. A musty odor suggests infection, ice is not typically recommended, and the cast must be kept dry.

Question 2 of 5

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?

Correct Answer: B

Rationale: Administering oxygen therapy is the priority to address hypoxemia caused by pulmonary embolism, improving tissue oxygenation while other interventions are initiated.

Extract:

Medical History
Nurses Notes
Diagnostic Results
Client is admitted to the rehabilitation unit following a hip fracture 7 days ago. Client has limited mobility and requires full assistance to turn and transfer out of bed.


Question 3 of 5

The client is at risk for developing [Pulmonary embolism] and [Deep vein thrombosis].

Diarrhea
Hypocalcemia
Pulmonary embolism
Deep vein thrombosis
Diarrhea
Hypocalcemia
Hypertension

Correct Answer: C,D

Rationale: Limited mobility and recent hip fracture increase the risk of deep vein thrombosis, which can lead to pulmonary embolism.

Extract:


Question 4 of 5

The nurse is caring for a client diagnosed with end-stage chronic obstructive pulmonary disease (COPD). Which of the following data warrants immediate intervention by the nurse?

Correct Answer: C

Rationale: A respiratory rate of 28 breaths per minute indicates tachypnea and potential respiratory distress, requiring immediate assessment. Other findings are common or acceptable in end-stage COPD.

Question 5 of 5

A nurse is providing discharge teaching to a client who has a Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Numbness or pain in the toes may indicate impaired circulation or nerve compression, requiring immediate attention. A musty odor suggests infection, ice is not typically recommended, and the cast must be kept dry.

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