ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 of 5
A patient with chronic renal failure has an occluded arteriovenous fistula, and routine hemodialysis is delayed. However, the patient's serum potassium level is 6.0 mEq/L. What should the nurse expect to be prescribed for this patient? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Sodium polystyrene sulfonate, dextrose, sodium bicarbonate, and insulin help lower serum potassium levels in hyperkalemia.
Question 2 of 5
A nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2 mEq/L. Which of the following interventions should the nurse anticipate?
Correct Answer: A
Rationale: Sodium polystyrene sulfonate binds potassium in the GI tract, reducing serum potassium levels in hyperkalemia.
Question 3 of 5
A patient with fluid overload is prescribed furosemide (Lasix) 20 mg by mouth each day. What should the nurse include when teaching the patient about this medication? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Furosemide increases urination, may cause weakness/dizziness, and requires monitoring weight and allergic reactions.
Question 4 of 5
A nurse is caring for a client who is receiving IV fluids to correct dehydration. Which of the following laboratory values should indicate to the nurse that the client is effectively responding to treatment?
Correct Answer: C
Rationale: A urine specific gravity of 1.020 indicates normal urine concentration, suggesting effective rehydration.
Question 5 of 5
The patient is prescribed to receive intravenous potassium chloride (KCL). Which actions should the nurse take when administering this medication? (Select all that apply)
Correct Answer: A,B,C
Rationale: Using an infusion controller, diluting KCL, and monitoring for redness ensure safe administration and prevent complications.