ATI Advanced Med Surg Final Exam 0924 | Nurselytic

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ATI Advanced Med Surg Final Exam 0924 Questions

Extract:

Vital signs
Blood pressure 180/90 mm Hg
Heart rate 105/min
Temperature 37.1° C (98.8° F)
Respirations 18min; labored
Pulse oximetry 94 on 2L nasal cannula%

Nurses notes

The client reports worsening fatigue over the last 3 days. The client also reports loss of appetite, denies nausea or vomiting.
On assessment, the client appears pale, lung and heart sounds within defined limits. Abdomen is tender in area of incision from transplant. Bowel sounds are hypoactive in all 4 quadrants. Bilateral pedal pulses +2. +1 edema in bilateral lower extremities. Client reports that for the last 2 days they have only urinated twice per 24-hour period.

Medical history

History of coronary artery disease
Type 2 diabetes mellitus
Renal failure
Renal transplant 6 weeks ago


Diagnostic Results
BUN 25 mg/dL (10 to 20 mg/dL)
Creatine 2.0 mg/dL (0.5 to 1.3 mg/dL)
Hemoglobin 15 mmol/L (12 to 18 mmol/L)
Hematocrit 45% (37% to 52%)
Potassium 5.2 mEq/L (3.5 to 5.0 mEq/L)
Sodium 145 mEq/L (136 to 145 mEq/L)


Question 1 of 5

Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply.)

Correct Answer: D,E

Rationale: Elevated creatinine and signs at the incision site indicate possible kidney transplant rejection.

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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