Questions 47

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ATI Med Surg Nur214 Questions

Extract:

A 57-year-old female patient was admitted to the hospital with a left upper wound infection (methicillin-resistant Staphylococcus aureus [MRSA] and several gram-negative bacteria) and cellulitis 5 days ago. Her wound is packed and requires a dressing change twice a day. She is scheduled for discharge to home with her daughter to continue antibiotic therapy for another week.


Question 1 of 5

What health teaching should the nurse include as part of the discharge instructions for the patient and her daughter? Select all that apply.

Correct Answer: A,C,D

Rationale: Sterile technique prevents infection, notifying about worsening diarrhea addresses potential antibiotic side effects, and rest aids recovery. Stopping antibiotics early risks resistance.

Extract:


Question 2 of 5

The nurse is examining new medication orders for a patient and notes the following order: Methadone 40.0 mg orally twice a day. Why does the nurse contact the provider to clarify the order?

Correct Answer: C

Rationale: Trailing zeros should be avoided when writing medication orders. Writing "40.0 mg" instead of "40 mg" can lead to dosing errors if the decimal point is not seen.

Question 3 of 5

A patient arrives at the clinic reporting a new onset of angina pectoris that has persisted for the last 30 minutes. What should be the nurse's initial action?

Correct Answer: B

Rationale: Obtaining an EKG reading is the most appropriate initial action when a patient reports a new onset of angina pectoris. An EKG can help determine if the patient is experiencing a myocardial infarction (heart attack), which is a life-threatening condition.

Question 4 of 5

The nurse reviews morning lab results on his patients. Based on these lab results which patient should the nurse see first?

Correct Answer: B

Rationale: A potassium level of 6.4 mmol/K is above the normal range and can lead to life-threatening heart rhythms, requiring immediate attention.

Question 5 of 5

An ICU nurse has had many discussions with fellow nursing colleagues about allowing patient families to visit as often as the patient's condition will allow. Which patient and family need is the nurse considering in these conversations?

Correct Answer: B

Rationale: Social support is the primary need being considered in these conversations. Evidence shows that the unrestricted presence and participation of a support person can improve the safety of care and enhance patient and family satisfaction.

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