Questions 49

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ATI Nur285 Med Surg Fall Exam Questions

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Question 1 of 5

A nurse is providing teaching to a client who has a new colostomy. Which of the following information should the nurse include in the teaching?

Correct Answer: B

Rationale: A small amount of bleeding around the stoma is normal during early healing, but excessive bleeding requires attention.

Question 2 of 5

A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: B

Rationale: Volume (mL) = Desired dose (mg) / Concentration (mg/mL) = 35 mg / 75 mg/mL = 0.4 mL.

Question 3 of 5

A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions?

Correct Answer: D

Rationale: Sleeping on the left side helps reduce the likelihood of acid reflux by preventing stomach contents from moving into the esophagus, making it the most effective position for GERD.

Question 4 of 5

A client diagnosed with ulcerative colitis has a new ileostomy. Which statement indicates the client needs more teaching concerning the ileostomy?

Correct Answer: D

Rationale: Changing the ostomy bag daily is unnecessary unless leakage occurs; typically, it's changed every 3-7 days, indicating a need for more teaching.

Question 5 of 5

A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: C

Rationale: Drip rate (gtt/min) = (
Total volume (mL) × Drop factor (gtt/mL)) /
Total minutes = (1000 mL × 10 gtt/mL) / 360 minutes ‰ˆ 28 gtt/min.

Similar Questions

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)
A patient who is taking NSAIDs to treat arthritis asks the nurse why Cytotec (misoprostol) has also been prescribed. Which explanation by the nurse is accurate?
A client diagnosed with type II diabetes is prescribed prednisone for an acute exacerbation of inflammatory bowel disease. Which management strategy should the nurse discuss with the client?
A nurse in a post-anesthesia care unit (PACU) is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
The nurse is caring for a client who has had an upper G.I. endoscopy. The client's vital signs must be taken every 30 minutes for two hours after the procedure. The nurse assigns an unlicensed assistant to take the vital signs. Two hours later, the assistant reports to client who was previously afebrile has now developed a temperature of 101.8°F. What should the nurse do in response to this reported data by the unlicensed assistant?

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