Questions 78

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ATI Adult Med Surg Nurs 4292 Exam Questions

Extract:


Question 1 of 5

A nurse is teaching a client who has acute kidney injury (AKI) about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer: B

Rationale: Oliguria (<400mL/24hr) defines this phase of AKI with impaired urine production.

Question 2 of 5

A nurse is caring for a client who has a pulmonary embolism and has been on a heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?

Correct Answer: B

Rationale: Overlap therapy is needed because warfarin has delayed onset (3-5 days) while heparin provides immediate anticoagulation.

Question 3 of 5

A nurse is assessing a client who has left-sided heart failure. Which of the following clinical manifestations will the nurse expect?

Correct Answer: B

Rationale: Crackles indicate pulmonary congestion characteristic of left-sided heart failure.

Question 4 of 5

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg orally daily. Digoxin is available in 0.25 mg/tablet form. How many tablets 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: 0.5

Rationale: Calculation: 125 mcg = 0.125 mg; 0.125 mg ÷ 0.25 mg/tablet = 0.5 tablets

Question 5 of 5

A nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?

Correct Answer: C

Rationale: Daily weight is the most reliable measure of fluid retention as 1 kg weight gain equals approximately 1 liter fluid retention.

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