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ATI Med Surg Woolery Q5 Questions

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Question 1 of 5

A nurse is providing education to a client who has a new diagnosis of Addison's disease. The nurse determines that additional teaching is needed when the client makes which of the following statements?

Correct Answer: B

Rationale: Holding hydrocortisone during infection (
B) is incorrect; dose may need to increase. Medical alert bracelet (
A), twice-daily hydrocortisone (
C), and high-sodium diet (
D) are correct.

Question 2 of 5

A client who takes daily hormone replacement therapy for Addison's disease is scheduled for an outpatient surgical procedure. Which of the following instructions should the nurse include when providing discharge education to the client?

Correct Answer: C

Rationale: Surgery is a stressor requiring increased corticosteroid doses (
C) in Addison's disease to prevent adrenal crisis. Limiting sodium (
A) is inappropriate as Addison's patients need sodium. Fluid restriction (
B) is unnecessary. Avoiding hydrocortisone (
D) risks adrenal crisis.

Question 3 of 5

The patient is returning to the unit after undergoing a bilateral adrenalectomy. Which clinical manifestation would indicate that the client is experiencing an Addisonian crisis?

Correct Answer: C

Rationale: Low blood pressure (92/50) (
C) indicates Addisonian crisis due to adrenal insufficiency. Surgical pain (
A) is expected. Hyperglycemia (
B) is unrelated. High sodium (
D) is incorrect; hyponatremia is typical.

Question 4 of 5

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 75

Rationale:
To calculate the infusion rate, divide total volume (1800 mL) by infusion time (24 hr): 1800 / 24 = 75 mL/hr.

Question 5 of 5

A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?

Correct Answer: A

Rationale: BNP (
A) is the most specific marker for heart failure, elevated due to cardiac pressure and volume overload. Troponin I (
B) indicates myocardial infarction. BUN (
C) may be elevated in heart failure but is less specific. Platelet levels (
D) are unrelated to heart failure diagnosis.

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