ATI PROCTORED MEDSURGE EXAM
1. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse
... [Show More] expect?
Bradycardia- more tachycardia cuz of a failing ventricle , SNS is activated to compensate .
Flushed skin- duskly it wIll look like
Frothy sputum-Left sided- can be blood tinged
Jugular vein distention→ Right Rationale: ATI MS: pg. 198 ch 32 pdf
Left side: dyspnea, orthopnea, fatigue, pulmonary congestion, frothy sputum, organ failure such as oliguria.
Right Side: Jugular vein distention, ascending dependent edema, abdominal distention, polyuria ar rest, liver
enlargement,
A nurse is assessing a client who is experiencing renal colic from a calculus in left renal pelvis. Identify the area
where the nurse should expect the client to have referred pain. ( Find “hot spots” in the artwork) Pain travels
downward to the inguinal area and lower back
Renal colic occurs in the kidney area. Referred pain is somewhere that happens in another place other than
where the pain should be felt.
A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate.
Which of the following actions should the nurse take? (Select all the apply?). Check answer i read pg 644-647
med surg it’s not so specific p. 370 ch 57 pdf
monitor the access site for drainage.- to check for sxs of infection.
Strip the catheter tubing
Measure the amount of the dialysate outflow
Raise the client to high fowlers position- they must lie supine
Position the client to her other side.
A nurse is planning to insert an indwelling catheter for a female client. Which of the following actions should
the nurse plan to take? Ati video tutorials foley
Collect urine specimen from the drainage bag 1 hr after insertion
Raise the head of the bed to 45 degrees prior to insertion
Secure the catheter to the client's inner thigh
Attach the bag to the rail of the bed. –under non movable area
A nurse is providing teaching for a client who has age-related macular degeneration which of the following
information should the nurse include in the teaching
A possible cause of this problem is long-term lack of dietary protein
You probably have a Detachment of your retina -vision is like having curtains over eyes
You probably have noticed a decline in your central vision
The doctor can perform surgery to correct the start paying the folds in your retina
Rationale: ATI MS: PG. 63 Macular degeneration, often called age-related macular degeneration (AMD), is the
central loss of vision that affects the macula of the eye. NO cure , happens alot in old people. Sxs: distorted
vision, blurred vision, caused by smoking, female, HTN, diet lacking carotene.
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