Questions 89

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ATI Med Surg Exam 2 Questions

Extract:


Question 1 of 5

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

Correct Answer: A,C,E

Rationale: Proper hand hygiene prevents infections (
A). Daily weight monitoring tracks fluid balance (
C). Blood pressure monitoring manages cardiovascular health (E). Laying down during dwell time is unnecessary (
B), and CAPD involves multiple daily exchanges, not once at bedtime (
D).

Question 2 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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 50 mL

Rationale: 250 mg ÷(25 mg/5 mL) = 50 mL per dose.

Question 3 of 5

A nurse is monitoring a client who has acute kidney injury (AKI). Which of the following laboratory findings should the nurse expect?

Correct Answer: A

Rationale: Elevated BUN reflects impaired urea excretion in AKI. Hypocalcemia, metabolic acidosis, and hyperkalemia are more common.

Question 4 of 5

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

Correct Answer: A,C,E

Rationale: Proper hand hygiene prevents infections (
A). Daily weight monitoring tracks fluid balance (
C). Blood pressure monitoring manages cardiovascular health (E). Laying down during dwell time is unnecessary (
B), and CAPD involves multiple daily exchanges, not once at bedtime (
D).

Question 5 of 5

A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?

Correct Answer: A

Rationale: Normal urine specific gravity (1.005–1.030) indicates rehydration. Decreased pulse pressure, lightheadedness, and low urine output suggest ongoing dehydration.

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