Questions 42

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ATI Med Surg Exam Midterm RN 36 1125 Questions

Extract:


Question 1 of 5

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury ( civiliations should the nurse expect?

Correct Answer: A

Rationale: In prerenal AKI, the kidneys are not receiving enough blood flow. As a result, they cannot filter potassium out of the blood efficiently, leading to hyperkalemia, which is an elevated level of potassium in the blood.

Question 2 of 5

A patient who has is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the acute glomerulonephritis prescribed calcium gluconate IV?

Correct Answer: C

Rationale: Cardiac rhythm is the most critical aspect to monitor after administering calcium gluconate for hyperkalemia. Hyperkalemia can cause life-threatening cardiac dysrhythmias, and calcium gluconate stabilizes the cardiac membrane.

Question 3 of 5

Which finding for a patient with pancreatitis is termed Grey Turner's sign?

Correct Answer: D

Rationale: Grey Turner's sign is characterized by bluish discoloration of the flank area, indicative of retroperitoneal hemorrhage in severe pancreatitis.

Question 4 of 5

A patient is admitted with esophageal varices and portal hypertension. Which underlying cause of these conditions would the nurse suspect?

Correct Answer: A

Rationale: Liver cirrhosis is the most common cause of esophageal varices and portal hypertension. Cirrhosis leads to scarring of the liver, which impedes blood flow through the portal vein, causing increased pressure and the development of collateral blood vessels.

Question 5 of 5

A patient admitted with acute kidney injury due to dehydration has oliguria, anemia, and hyperkalemia. Which prescribed action should the nurse take first?

Correct Answer: A

Rationale: In the case of hyperkalemia, which can cause fatal cardiac arrhythmias, the most immediate nursing action is to place the patient on a cardiac monitor to detect life-threatening changes.

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