ATI CAPSTONE MED
SURG. 1. a nurse is reviewing the ABG results of a client
who the provider suspects has metabolic acidosis. what would the nurse expect
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2. a pt is experiencing SOB, fatigue, JVD, the
nurse auscultates a third heart sound (S3), what
should the nurse anticipate as the cause of
these s/s
3. a nurse is administering potassium chloride
elixer 40mEq divided into 2 equal doses every
12 hours, available is 6.7 mEq/5mL. how many
mL should the nurse administer per dose?
4. a nurse is caring for a pt in the ED who was
just admitted with chest pain, possible acute
coronary syndrome. what should the nurse do
first?
5. a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the RRT is at
the bedside. what electrical intervention should
be used to correct this dysrhythmia?
6. a nurse is caring for an adult pt who is experiencing delayed wound healing, which of the
following interventions should the nurse take?
7. a nurse is teaching a client who has pre-dialysis
ESKD about diet, what should be included?
pH below 7.35
HF
30mL
administer sublingual
nitroglycerin
(treat chest pain to
reduce cardiac tissue
damage)
synchronized cardioversion
(tx for afib, SVT, and v
tach with a pulse)
monitor serum albumin levels and notify provider if below
3.5g/dL
(lack of protein increases the risk for a delay
in wound healing and infection)
reduce intake of foods
high in potassium
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8. a nurse is caring for a client who has T1DM,
the nurse misread the client's morning BG level
as 210mg/dL, instead of 120mg/dL and administered the insulin dose appropriate for a reading over 200mg/dL before the client's breakfast,
what action is the nurse's priority?
9. a nurse is planning care for a pt who has a new
diagnosis of DI, which of the following interventions should the nurse include in the plan of
care?
10. a nurse is caring for a pt admitted with wheezing
and coughing due to an allergic reaction to a
newly prescribed medication, what medication
should be administered first?
(potassium clearance is
impaired in ESKD)
monitor the client for hypoglycemia
check urine specific
gravity
albuterol 3mL via nebulizer
11. a nurse is caring for a female client in the ED who administer oxygen via
reports SOB and pain in the lung area, she states face mask
that she started taking BC pills 3 weeks ago and
that she smokes, her heart rate is 110/min, RR
40/min, and BP 140/80, her ABGs are pH 7.50,
PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what
is the priority of nursing interventions
12. a nurse is caring for a pt following repair of a
fracture, what finding should alert the nurse that
the pt is experiencing compartment syndrome?
13. a nurse is administering a tap water enema to a
pt who is constipated, during the administration
of the enema, the client states he is having abunrelieved pain, pallor,
pulselessness, numbness, pins and needles
sensation, swelling,
tightness of the effected
extremity
lower the height of the
solution container
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dominal cramps, what action should the nurse
take to relieve the client's comfort
14. a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should
the nurse take?
place the clients bedside table on the right
side of the bed
15. a nurse is caring for a pt who is at risk for shock, narrowing pulse preswhat finding is the earliest indicator that this
complication is developing?
16. a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what
finding should the nurse expect
17. a nurse is providing teaching for a client who
has experienced an acute episode of gastritis,
what instruction should the nurse include in the
teaching?
18. a nurse at an outpt surgery center is providing
discharge teaching to a pt an his spouse following surgical removal of a cataract, what should
the nurse include?
19. a nurse is assessing a pt who has a puncture
wound on his foot, what is a manifestation of
acute osteomylitis?
20. a nurse is monitoring a pt who had a cerebral aneurysm rupture, what finding should the
nurse identify as a manifestation of increased
intracranial pressure
21. when caring for a pt with a chest tube the nurse
notes continuous bubbling in the chest tube water seal chamber, what does this indicate
22. a nurse is an ED is caring for a client who had a
seizure and
became
unresponsive
after stating
ATI CAPSTONE MED SURG 2022-2023
4 / 17
sure
weak, irregular pulse
avoid drinking alcohol
the client should wear dark glasses while out- doors
localized erythema
irritability
an air leak
hemorrhagic stroke
ATI CAPSTONE MED SURG 2022-2023
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she had a sudden, severe headache, and vomiting, the pts vital signs are as follows: BP 198/110,
pulse of 82/min, RR of 24m/min, temp of 100.8F,
what neuro disorders should the nurse suspect [Show Less]