ATI Med Surg Woolery Final Exam | Nurselytic

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ATI Med Surg Woolery Final Exam Questions

Extract:

Medical History
Caesarean sections in 2005 & 2008.
Hypertension. Takes amlodipine 5 mg PO daily.
Obesity
Transfuse 1 unit of packed red blood cells.
Allergies: Morphine
Nurse's Notes
1200:
Client presents to the emergency department with complaints of abdominal pain rated 9/10 with nausea. Pain is localized to the right upper quadrant, radiates to right shoulder. Client reports vomiting yesterday. Abdomen soft, non-distended, tender to palpation in RUQ with guarding. Client is alert and oriented to person, place, time, and situation. 2+ peripheral pulses in all extremities. Lungs clear to auscultation. Urine sample sent to lab, awaiting results, urine noted to be dark amber on collection.
Client diaphoretic, mild jaundice noted. 18 g peripheral IV catheter inserted to right antecubital with 0.9% sodium chloride infusing at 125 mL/hr continuous via pump. Awaiting orders. Will continue to monitor.

SWAT Diagnostic Results
1210
Sodium: 140 mEq/L
Potassium: 3.8 mEq/L
BUN: 18 mg/dL
Creatinine: 1.1 mg/dL
White Blood Cell Count: 14,000/mm3 Red Blood Cell Count 5.1 million/mm3 Hemoglobin: 15.1 g/dL
Platelet Count: 250,000/mm3

Vital Signs
1200:
Temperature 37.9°C (100.3°F)
Heart rate 120/min (Sinus Tachycardia) Respiratory rate 22/min
Blood pressure 149/86 mmHg SaO2 96% on room air


Question 1 of 5

For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.

Options Anticipated Contraindicated
Begin broad spectrum IV antibiotics (Anticipated)
Transfuse 1 unit of packed red blood cells (Contraindicated)
Prepare client for endoscopic retrograde cholangiopancreatography (Anticipated)
Administer morphine sulfate IV push for pain (Contraindicated)

Correct Answer: A,C

Rationale: Antibiotics and ERCP are appropriate for suspected biliary infection; blood transfusion is not indicated, and morphine is contraindicated due to allergy.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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