MED SURG ATI Advanced FINAL EXAM Questions and Answers graded A+ guaranteed success latest update 2023-2024
A nurse in a burn treatment center is
... [Show More] caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client’s spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?
a.“large incisions will be made in the eschar to improve circulation”
b.“ I can call the doctor back here if you want me to”
c.“a piece of skin will be removed and grafted over the burned area”
d.“dead tissue will be surgically removed”
A group of college students was attending a weekend football rally when one of the students stumbled and fell into the bonfire. Although several friends quickly intervened, the client sustained partial-thickness burns to both lower legs, chest, and both forearms. Which of the following is priority nursing action when the client is brought to the ED?
a.cover the burned area with sterile gauze
b.inspect mouth for signs of inhalation
c.administer intravenous pain medication
d.draw blood for a CBC
A triage nurse in an emergency dept is caring for a client who has gunshot wound to the right side of chest. The nurse notices thick dressing on the chest and sucking noise coming from the wound. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take initially?
a.Raise the foot of the bed to a 90 degree angle
b.Remove the dressing to inspect the wound
c.Prepare to insert a central line
d.Administer oxygen via nasal cannula
A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client’s heart rate increases from 86/min to 110/min and becomes irregular. The nurse should know that the client requires which of the following?
a.A cardiology consult
b.Less frequent suctioning
c.An antidysrhythmic medication
d.Pre-oxygenation prior to suctioning
The nurse is caring for a client who is receiving a blood transfusion. The transfusion started 30 minutes ago at a rate of 100 mL/hr. The client begins to complain of low back pain and headache and is increasingly restless. What is the first nursing action?
a.Stop the transfusion, disconnect the blood tubing, and begin a primary infusion of normal saline solution
b.Slow the infusion and evaluate the vital signs and the client’s history of tranfusion reactions
Slow the infusion of blood and begin infusion of normal [Show Less]