NGN ATI RN Adult Medical Surgical Practice 2019 UPDATED 2023 With 100%Verified Answers Graded A+.
ATI RN Adult Medical Surgical Practice 2019 -2023
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1. A nurse is assessing a client who has acute cholecystitis. Which of the
following findings is the nurse's priority?
Anorexia
Abdominal pain radiating to the right shoulder
Tachycardia
Rebound abdominal tenderness: Tachycardia
-Tachycardia is a manifestation of biliary colic, which can lead to shock. The nurse
should position the head of the client's bed flat and report this finding immediately
2. A nurse is caring for a client who is undergoing hemodialysis to treat endstage kidney disease (ESKD). The client reports muscle cramps and tingling
sensation in their hands. Which of the following medications should the
nurse plan to administer?
Epoetin alfa
Furosemide
Captopril
Calcium carbonate: Calcium carbonate
3. A nurse is providing teaching to a client who is receiving chemotherapy
and has a new prescription for epoetin alfa. Which of the following client
statements indicates an understanding of the teaching?
"I will monitor my blood pressure while taking this medication"
"I should take a vitamin D supplement to increase the effectiveness of the
medication."
"I should inform the provider if I experience an increased appetite while
taking this medication"
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"I will decrease the amount of protein in my diet while taking this
medication."-
: "I will monitor my blood pressure while taking this medication"
-monitor their blood pressure while taking this medication because hypertension is
a common adverse effect and can lead to hypertensive encephalopathy.
Rationale
-client requires an adequate intake of iron, folic acid, and vitamin B12 while taking
this medication because they are essential to the production of erythrocytes.
-increase the amount of protein in their diet while receiving chemotherapy to
decrease the risk for infection.
4. The nurse is caring for a group of clients. The nurse should plan to make
a referral to physical therapy for which of the following clients?
-A client who is receiving preoperative teaching for a right knee arthroplasty.
-A client who states they will have difficulty obtaining a walker for home use.
-A client who reports an increase in pain following a left hip arthroplasty.
-A client who is having emotional difficulty accepting that they have a
prosthetic leg.: A client who is receiving preoperative teaching for a right knee
arthroplasty.
-should make a referral to physical therapy for a client who is receiving preoperative
teaching for a knee arthroplasty so the client can begin understanding postoperative exercises and physical restrictions.
Rationale
-should make a referral to a social worker for walker
-should contact the provider for a client who is experiencing increased pain
following a left hip arthroplasty.
-should refer the client to a counselor to assist with coping with the adjustment to
the need of a prosthetic leg.
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5. A nurse is providing teaching to a female client who has a history of urinary
tract infections (UTIs). Which of the following information should the nurse
include in the teaching?
Avoid foods that are high in ascorbic acid.
Add oatmeal to the water when taking a tub bath.
Urinate every 6 hr.
Take daily cranberry supplements.: Take daily cranberry supplements
-.take cranberry supplements or drink low-fructose cranberry juice because it
contains compounds that adhere to the urinary tract wall, decreasing the risk for
developing a UTI
Rationale
-risk for developing UTIs should urinate every 2 to 4 hr.
-take showers rather than tub baths because bacteria in the bath water can enter
the urethra.
-increase intake of ascorbic acid to acidify the urine.
6. A nurse is providing instructions to a client who has type 2 diabetes
mellitus and a new prescription for metformin. Which of the following
statements by the client indicates an understanding of the teaching?
"I will monitor my blood sugar carefully because the medication increases
the secretion of insulin."
"I should take this medication with a meal."
"I can expect to gain weight while taking this medication."
"While taking this medication, I will experience flushing of my skin.": "I
should take this medication with a meal."
-take metformin with or immediately following meals to improve absorption and to
minimize gastrointestinal distress.
Rationale
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-Metformin decreases the amount of glucose produced in the liver and increases
tissue sensitivity to insulin
-Typically, clients lose weight when beginning to take metformin due to nausea
and vomiting. [Show Less]