ATI LPN Med Surg Exam 3 | Nurselytic

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ATI LPN Med Surg Exam 3 Questions

Extract:

Nurses’ Notes at 0700 hrs
The client has a history of diverticulitis and is allergic to penicillin. The client states that the pain started yesterday and has been worsening. He also reports nausea and vomiting, and he is unable to eat or drink anything without vomiting.
• Client presents with left lower quadrant (LLQ) pain, rated 9 on a 0 to 10 pain scale.
• Client is nauseous and has vomited twice since arrival.
• Client states he has not had a bowel movement in two days.
• Abdomen is distended and tender to palpation in the LLQ.
• Bowel sounds are hypoactive in all four quadrants.
• Client is oriented to person, place, and time.
• Client is able to move all extremities without difficulty.
Vital Signs at 0700 hrs
Temperature: 37.4°C (99.3°F)
• Heart rate: 100/min
• Respiratory rate: 20/min
• Blood pressure: 148/76 mm Hg
• Oxygen saturation: 97% on room air
Diagnostic Results at 0715 hrs
Sodium: 140 mEq/L (136-145 mEq/L)
• Potassium: 3.5 mEq/L (3.5-5.0 mEq/L)
• BUN: 19 mg/dL (10-20 mg/dL)
• Creatinine: 1.1 mg/dL (0.6-1.3 mg/dL)
• White Blood Cell Count: 28,000/mm³ (5,000-10,000/mm³)


Question 1 of 5

Based on the information provided, which of the following provider's prescriptions are anticipated, nonessential, or contraindicated for the client?

Options Anticipated Nonessential Contraindicated
Increase fiber intake
CT of the abdomen with contrast
Flexible sigmoidoscopy
Change IV fluids to 0.9% sodium chloride with KCl
Type and crossmatch blood
Administer IV piperacillin-tazobactam

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

Rationale: A: Nonessential. A high-fiber diet can prevent future diverticulitis but is not helpful during the acute phase, especially with vomiting. B: Anticipated. A CT scan confirms diverticulitis diagnosis and assesses severity. C: Anticipated. Sigmoidoscopy visualizes diverticula and inflammation extent. D: Anticipated. IV fluids with KCl address dehydration and maintain potassium levels. E: Anticipated. Blood typing is needed due to possible bleeding indicated by occult blood test and low hemoglobin. F: Contraindicated. Piperacillin-tazobactam is penicillin-based, and the client is allergic to penicillin.

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Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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