ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 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 2 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 3 of 5
A patient newly diagnosed with diabetes mellitus is admitted to the emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L. What other assessment findings should the nurse anticipate in this patient? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Metabolic acidosis in diabetic ketoacidosis causes Kussmaul respirations, dysrhythmias, tachycardia, and weakness.
Question 4 of 5
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?
Correct Answer: C
Rationale: Effective treatment of hyperkalemia with polystyrene sulfonate reduces peaked T-waves, normalizing T-wave amplitude.
Question 5 of 5
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Metabolic alkalosis causes bicarbonate excess, lethargy, and circumoral paresthesia due to hypocalcemia.