med surg ati proctored
A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings
... [Show More] should the nurse expect? a. Elevated serum calcium
b. Elevated blood glucose
c. Decreased serum amylase
d. Decreased erythrocyte sedimentation rate - b. Elevated blood glucose
A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Hypothermia
b. Urine specific gravity 1.001 (<1.005)
c. Elevated blood pressure
d. BUN 15 mg/dl - b. Urine specific gravity 1.001 (<1.005)
A nurse is planning care for a client who has pulmonary embolism. Which of the following interventions should the nurse include? a. Initiate a continuous IV heparin infusion
b. Instruct the client to massage the lower extremities
c. Position the client on the left side
d. Measure vital signs every 4 hour - a. Initiate a continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following instructions should the nurse include?
a. Avoid extremely hot or cold temperatures
b. Limit fluids to 1.5 L per day
c. Limit alcohol intake to one drink per day
d. Avoid getting a flu vaccination - a. Avoid extremely hot or cold temperatures
A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first?
a. Obtain a blood specimen for type and crossmatch
b. Insert a large-bore IV catheter
c. Administer IV therapy
d. Monitor urine output - b. Insert a large-bore IV catheter
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the graft? a. Dilated appearance of the graft
b. Absence of a bruit
c. Normotensive blood pressure
d. Palpable thrill - d. Palpable thrill
A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the following findings indicates hypokalemia? a. Oliguria
b. Hypertension
c. Muscle weakness
d. Positive chvostek's sign (CHEEK) - c. Muscle weakness
A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take? a. Weigh the client once per week
b. Provide the client with a protein intake of 1g/kg/day
c. Maintain a daily count of the client's calorie intake
d. Place the client on a low-carb diet - c. Maintain a daily count of the client's calorie intake
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching?
a. "I will expect my stools to be loose"
b. "I will eat a high fiber diet'
c. "I will take a laxative when I'm constipated"
d. "I will empty my bag when it is full" - a. "I will expect my stools to be loose"
A nurse is caring for a client who is receiving total parental nutrition through a central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take?
a. Switch the infusion to a 10% dextrose solution
b. Discontinue the infusion and flush the line
c. Decrease the rate of infusion to last until the new bag is available
d. Start an infusion of 0.45% sodium chloride solution - a. Switch the infusion to a 10% dextrose solution
A nurse is caring for a client who is 6 hr postoperative following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of the following electrolyte imbalances?
a. Hypocalcemia
b. Hypokalemia
c. Hypermagnesemia
d. Hypernatremia - a. Hypocalcemia
A nurse is caring for a client who is caregiver for a relative who has chronic disease. Which of the following statements indicates the client is adapting to the role change?
a. "I had to reschedule my doctor's appointment last week"
b. "I have lunch with my friends once a week"
c. "I've lost 15 pounds in the past 2 months"
d. "I need to get my blood pressure medicine refilled" - d. "I need to get my blood pressure medicine refilled"
A nurse is reviewing medications taken at home with a client who has angina. Which of the following statements by the client indicates an understanding [Show Less]