Questions 38

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ATI RN Test Bank

ATI Nproo 2100 Exam Unit 3 Fundamentals Exam Questions

Extract:


Question 1 of 5

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Correct Answer: C

Rationale: DIC involves abnormal coagulation, consuming fibrinogen and platelets, causing clots and bleeding. Platelet counts drop, heparin is not lifelong, and DIC is not genetic.

Question 2 of 5

A nurse is caring for a client who has HIV and a CD4-T-cell count of 150/mm³. Which of the following conditions should the nurse monitor the client for?

Correct Answer: B

Rationale: A CD4-T-cell count of 150/mm³ indicates severe immunosuppression, increasing susceptibility to opportunistic infections like tuberculosis. Hepatitis, gonorrhea, and chlamydia are not directly linked to low CD4 counts.

Question 3 of 5

A nurse is assessing a client after administering a dose of losartan. The client has a hoarse voice, and swollen lips and tongue. In which order should the nurse take the following actions?

Correct Answer: A,B,C,D,E,F

Rationale: 1. Assess airway for obstruction. 2. Call emergency team for support. 3. Apply oxygen for hypoxia. 4. Initiate IV for medication delivery. 5. Administer epinephrine for anaphylaxis. 6. Administer antihistamines to reduce symptoms.

Question 4 of 5

A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates a therapeutic response to the epinephrine?

Correct Answer: C

Rationale: Unlabored respirations indicate improved airway patency, a key effect of epinephrine. Other options are not specific to angioedema treatment.

Question 5 of 5

A 70-year-old male receiving high-dose IV furosemide for heart failure complains of ringing in his ears and dizziness. His current labs show normal potassium and sodium levels. What is the nurse's most appropriate intervention?

Correct Answer: D

Rationale: Ringing in ears and dizziness suggest furosemide ototoxicity. Stopping the infusion and notifying the provider is critical. Other actions risk worsening the condition.

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