ATI RN ADULT MED SURG ONLINE PRACTICE
2019 B WITH NGN (WELL ELABORATED
RATIONALED ANSWERS)
A nurse is caring for a client who has DKA. Which of the
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following findings should indicate to the nurse that the
client's condition is improving?
Glucose 272
RATIONALE
A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
A nurse is caring for a client who has diabetic ketoacidosis
(DKA). Which of the following should the nurse plan to
administer? Regular insulin 20 units IV.
RATIONALE
DKA is a complication of diabetes mellitus that results in
dehydration, ketosis, metabolic acidosis, and elevated
blood glucose levels. Management of DKA involves
providing hydration, correcting acid-base imbalances, and
decreasing blood glucose levels. Regular insulin is a fastacting insulin that can be effective within 10 min when
administered intravenously.
A nurse is evaluating the plan of care for four clients after
2 days of hospitalization. The nurse should identify the
need to revise the plan for which of the following clients? -
A client who is postoperative following abdominal surgery
and reports feeling that something "popped" when they
coughed.
RATIONALE
A feeling of something popping or loosening with coughing
might indicate a wound dehiscence. This client will need to
have revisions to the plan of care, which can include
management of the dehiscence, prevention of
evisceration, or possible surgical repair of an evisceration
if one occurs.
A nurse is providing discharge teaching to a client who is
to self-administer heparin subcutaneously. Which of the
following statements by the client indicates an
understanding of the teaching? I will use an electric razor
to shave.
RATIONALE
Heparin is an anticoagulant that places the client at the
risk for bleeding. Therefore, the nurse should instruct the
client to use an electric razor when shaving to reduce the
risk of cuts to the skin.
A nurse is providing follow-up care for a client who
sustained a compound fracture 3 weeks ago. The nurse
should recognize that an unexpected finding for which of
the following laboratory values is a manifestation of
osteomyelitis and should be reported to the provider?
Sedimentation rate.
RATIONALE
An increased sedimentation rate occurs when a client has
any type of inflammatory process, such as osteomyelitis.
A nurse is assessing a client who is at risk for the
development of pernicious anemia resulting from peptic
ulcer disease. Which of the following images depicts a
condition caused by pernicious anemia? image depicts
glossitis, which can indicate pernicious anemia.
RATIONALE
Glossitis, a smooth red tongue, is also a manifestation of
deficiencies in vitamin B6, zinc, niacin, or folic acid. [Show Less]