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ATI Med Surg Nurs 224g Questions

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Question 1 of 5

A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/79 mm Hg places him in which of the following categories?

Correct Answer: A

Rationale: A blood pressure of 124/79 mm Hg is considered elevated, with systolic readings from 120-129 and diastolic less than 80 mm Hg.

Question 2 of 5

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

Correct Answer: C

Rationale: Sudden abdominal pain, especially in the upper abdomen, can be a sign of gastrointestinal perforation, often severe and accompanied by signs of peritonitis.

Question 3 of 5

Mrs. Jamerson, who is in the post anesthesia care unit (PACU) following surgery, is difficult to arouse and demonstrates shallow breathing. The patient does not respond to any stimuli. The nurse assesses the patient and obtains arterial blood gas (ABG) measurements STAT. The ABG shows a pH of 7.10, PaCO2 of 70 mm Hg, and HCO3 of 24 mEq/L. What does this mean?

Correct Answer: B

Rationale: Respiratory Acidosis Uncompensated is indicated by an acidic pH under 7.35 and an elevated PaCO2 over 45 mmHg, with HCO3 in the normal range.

Question 4 of 5

A nurse is assessing a client who is 24 hours postoperative following an open reduction and internal fixation to repair a fracture of the femur. Which of the following assessment findings is an early manifestation of fat embolism syndrome (FES)?

Correct Answer: B

Rationale: Dyspnea, or difficulty breathing, is one of the earliest signs of FES due to fat globules obstructing pulmonary vessels.

Question 5 of 5

A nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest?

Correct Answer: B

Rationale: Swimming is a low-impact exercise that strengthens back muscles without stressing the spine, ideal for low back pain.

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