Questions 168

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ATI Med Surg Nursing 300 day Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client, the lab results are listed in the table. The nurse would anticipate the administration of which blood product(s) for this client?

Correct Answer: C

Rationale: Low hemoglobin (6.2 g/dL) and platelets (20,000 mm3) indicate the need for packed red blood cells and platelets.

Question 2 of 5

The nurse is preparing to start a transfusion of packed red blood cells for a client with a hemoglobin of 5.4 g/dL. (normal Female: 11.7-15.5 g/dL; Male: 14-17.3 g/dL). Which IV site should the nurse use?

Correct Answer: D

Rationale: A 20-gauge catheter infusing normal saline is appropriate for blood transfusion, avoiding interference from other medications.

Question 3 of 5

The nurse determines through neurologic testing that a patient has sensory and motor impairment of bilateral lower extremities. The most important reason to assess for this in the client is to:

Correct Answer: C

Rationale: Impaired motor and sensory function in the lower extremities increases fall risk, making it critical to plan care to protect the client from injuries.

Question 4 of 5

Which intervention(s) should the nurse include in the post-operative care of a client following a permanent pacemaker insertion? (SELECT ALL THAT APPLY)

Correct Answer: A,B,D

Rationale: A: Prevents infection. B: Limits movement to protect leads. D: Detects complications. C and E are incorrect as leads are not removed, and vigorous activity is avoided.

Question 5 of 5

The husband of a client with cervical carcinoma in situ says to the nurse, 'The doctor just told my wife that her cancer is curable. Is the doctor just trying to make us feel better?' The nurse's most accurate response would be:

Correct Answer: C

Rationale: Cervical carcinoma in situ, when detected early, has a high cure rate with aggressive treatment, accurately addressing the husband's concern.

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