Questions 168

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ATI Med Surg Nursing 300 day Exam Questions

Extract:


Question 1 of 5

The client with heart failure exhibits bibasilar crackles, dyspnea and a respiratory rate of 26/min. The physician prescribes furosemide 40 mg IV. Which parameter would the nurse use to best evaluate if the client is responding to this medication?

Correct Answer: B

Rationale: A decreased respiratory rate (16/min) indicates reduced pulmonary edema, showing furosemide's effectiveness.

Question 2 of 5

The nurse is caring for a client that has undergone a modified left radical mastectomy with lymph node removal. Which intervention would assist in preventing lymphedema?

Correct Answer: D

Rationale: Elevating the arm above heart level promotes lymphatic drainage, reducing fluid accumulation and the risk of lymphedema post-mastectomy.

Question 3 of 5

A client diagnosed with prostate cancer asks the nurse the importance of the prostate specific antigen (PSA). The nurse explains to the client that the PSA:

Correct Answer: C

Rationale: PSA is primarily used as a screening tool for prostate cancer, helping to detect potential issues early, though it is not definitive for diagnosis as it can be elevated in benign conditions like prostatitis or BPH.

Question 4 of 5

The nurse is viewing orders for a client with a suspected diagnosis of disseminated intravascular coagulation (DIC). The nurse recognizes that which laboratory test order set will guide the provider to a diagnosis of DIC?

Correct Answer: C

Rationale: D-dimer, fibrinogen, and fibrin degradation products are key markers for DIC, indicating clot formation and breakdown.

Question 5 of 5

The nurse is caring for a client who is admitted to the telemetry unit with a new onset of the following rhythm. The nurse assesses the rhythm as. The nurse plans to administer.... for the rhythm and intravenous....to prevent blood clots.

Correct Answer: A,B,C

Rationale: Atrial fibrillation requires rate control (amiodarone) and anticoagulation (heparin) to prevent thromboembolism.

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