NGN ATI RN Adult Medical Surgical Exam 2023 B Version 4| Questions and Verified Answers| 100% Correct| A Grade
QUESTION
A nurse is caring for a
... [Show More] client.The nurse has completed their performing an assessment of the client and reviewing the client's EMR. (For each of the client's assessment finding, click to specify if the finding is consistent with appendicitis or Crohn's disease. Each finding may support more than one disease process.)
Answer:
Appendicitis - Pain location, temperature, GI concerns
Crohn's Disease - Stool color, pain location, temperature, GI concerns
QUESTION
A nurse is caring for a client.
Complete the following sentence by using the lists of options.
Answer:
After reviewing the findings in the client's medical record, the nurse should first address the client's ABDOMINAL FINDINGS followed by the client's PAIN RATING
Rational:
When prioritizing hypotheses and using the priority framework of urgent vs non-ur- gent approach to client care, the nurse first should address the client's abdominal findings followed by the client's pain rating. Abdominal distention is a manifestation of an inflammatory intestinal disorder. The nurse should address this finding first to reduce the risk of life-threatening complications, such as obstruction or infection. The nurse should next address the client's pain rate of 8 which indicates moderate pain which requires intervention by the nurse.
QUESTION
The nurse is providing care for the client.
The nurse is planning care for the client.(For each potential provider's pre- scription, click to specify if each potential prescription is anticipated or con- traindicated for the client.)
Answer:
Anticipate - Obtain blood cultures, insert NG, obtain vitals
Contraindicated - Bolus fluids
Rational:
When generating solutions when planning the client's care, the nurse should antici- pate that the provider prescriptions for obtaining blood cultures, obtaining vital signs ever hour and insert a nasogastric tube are prescriptions that could be indicated
to manage the client's current condition. The anticipated provider prescription for administering a bolus of IV fluid is contraindicated for the client because the client's vital signs are within the expected reference range and the client is not experiencing findings that indicate a decrease in their fluid volume.
QUESTION
The nurse is providing care for the client.
A nurse is reviewing the client's electronic medical record (EMR) and the provider's prescriptions. Which of the following actions should the nurse take? Select the 3 actions that the nurse should take.
Answer:
Administer gentamicin
100 mg IV.
Administer client's PO medication with a sip of water. Ensure that the client has provided informed consent. Rational:
When taking actions after reviewing the client's EMR and provider prescriptions, the
nurse should prepare the client for an exploratory laparotomy by ensuring that the client has provided informed consent, administer gentamicin 100 mg IV, and the client's prescribed PO phenytoin. The client has findings of peritonitis in which the provider evaluating further.
QUESTION
The nurse is providing care for the client.A nurse is providing discharge teaching with the client. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.)
Answer:
"I should schedule several rest periods throughout the day."
"I should notify my provider if my temperature is higher than 101 degrees Fahren- heit."
Rational:
When evaluating outcomes, the nurse should identify that the client understands discharge teaching after stating "I will schedule several rest periods throughout the day" and "I will notify my provider if temperature is greater than 101 F." The client
had an exploratory laparotomy procedure and has a closed incision; therefore, the client will require rest throughout the day and should monitor for manifestations of infection such as an elevated temperature and drainage from surgical wound.
QUESTION
A nurse is providing teaching to a client who has AIDS. Which of the follow- ing statements by the client indicates an understanding of the teaching?
Answer:
"I will take my temperature once a day."
Rational:
A client who has AIDS is immunocompromised and is at risk for infection. The client should check their temperature daily to identify a temperature greater than 37.8° C (100° F), which is an early manifestation of an infection.
QUESTION
A nurse in an emergency department is reviewing the provider's prescrip- tions for a client who sustained a rattlesnake bite to the lower leg. Which
of the following prescriptions should the nurse expect?
Answer:
Administer an opioid analgesic to the client.
Rational:
The nurse should expect a prescription for an opioid analgesic to promote comfort following a rattlesnake bite.
QUESTION
A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. Which of the follow- ing information should the nurse include in the teaching?
Answer:
Try to walk at least three times per week for exercise.
Rational:
The development of a regular exercise routine can improve outcomes in clients who have heart failure. [Show Less]