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ATI RN Adult Medical Surgical 2023 latest update and final 2024 graded A+
Typology: Exams
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Seizure precautions โ ANSWER-Ensure client has IV access for seizure medication administration. Postoperative lab values โ ANSWER-Report Hgb level of 8 g/dL to provider as an indicator of postoperative haemorrhage or anaemia. ESWL procedure โ ANSWER-Expect stone fragments in the urine after extracorporeal shock wave lithotripsy.
Airborne precautions โ ANSWER-Initiate airborne precautions for a client with anorexia, low-grade fever, night sweats, and productive cough, as these are manifestations of tuberculosis. TPN administration โ ANSWER-Administer dextrose 10% in water until new TPN bag arrives to avoid drop in blood glucose level. Levothyroxine interaction โ ANSWER- Instruct client to avoid taking calcium within 4 hr of levothyroxine administration, as calcium can interfere with the effectiveness of the medication. Mechanical ventilation anxiety โ ANSWER- Instruct client to allow the machine to breathe for them to reduce anxiety and restlessness associated with fighting the ventilator. Adverse effect of enalapril โ ANSWER- Identify orthostatic hypotension as an adverse effect of enalapril.
in a client with increased intracranial pressure from a traumatic brain injury. Client coping with diabetes diagnosis โ ANSWER-Recognize the client's change in behaviour of inspecting feet daily as an indication of successful coping with the diagnosis. Inguinal hernia assessment - ANSWER- Palpate location C to verify the presence of an inguinal hernia. Rattlesnake bite treatment โ ANSWER-Expect a prescription for an opioid analgesic to promote comfort following a rattlesnake bite. Haemodialysis treatment โ ANSWER-Perform a 12-lead ECG, place the client in Trendelenburg position, administer a 0.9% sodium chloride 200 mL IV bolus, apply oxygen at 2 L/min via nasal cannula, and notify the provider immediately.
Client rights โ ANSWER-Ensure a client signs informed consent before receiving a placebo during a research trial. Omeprazole action โ ANSWER-Instruct the client that omeprazole provides relief by suppressing gastric acid production. Physical therapy referral โ ANSWER-Refer a client who is receiving preoperative teaching for a right knee arthroplasty to physical therapy to begin understanding postoperative exercises and physical restrictions. Droplet precautions โ ANSWER-Instruct an assistive personnel (AP) to wear a mask when coming within 3 ft of a client who has bacterial meningitis. Stress incontinence and weight loss โ ANSWER-Recommend weight loss to reduce excess abdominal pressure and mitigate the risk of stress incontinence.
Seizure intervention โ ANSWER-Turn the client to the side during a seizure to prevent aspiration. Medication to withhold prior to cardioversion
Chronic glomerulonephritis manifestation โ ANSWER-Identify hyperkalaemia as a manifestation of chronic glomerulonephritis. Feverfew interaction โ ANSWER-Advise the client that naproxen interacts with feverfew and can increase the risk of bleeding. Colorectal cancer risk reduction โ ANSWER- Recommend adding cabbage to the diet to help reduce the risk of colorectal cancer. Dysphagia bedside item โ ANSWER-Place a suction machine at the client's bedside to clear the airway as needed and reduce the risk of aspiration. Contrast dye assessment โ ANSWER-Further assess a client's history of asthma before a CT scan with IV contrast agent due to the risk of a reaction to the dye. Exophthalmos assessment โ ANSWER- Identify image D as indicating exophthalmos in a client with Graves' disease.
immunocompromised status is at risk for experiencing a role change. Hepatic encephalopathy treatment โ ANSWER-Expect excessive stools as an adverse effect of lactulose, used to treat hepatic encephalopathy. DKA laboratory findings โ ANSWER-Expect elevated BUN levels in a client with diabetic ketoacidosis. Follow-up findings โ ANSWER-Follow up on visual disturbances, tingling of the lips, hand grasps, and expressive aphasia. Dietary recommendation for dialysis client โ ANSWER-Tell the client that it is possible to return to similar previous levels of activity. Pseudomonas aeruginosa infection prevention
Role change risk โ ANSWER-Recognize that a client with multiple sclerosis and progressive difficulty ambulating is at risk for experiencing a role change. Lactulose adverse effect โ ANSWER-Identify hypokalaemia as an adverse effect of lactulose due to excessive stools. DKA laboratory findings โ ANSWER-Expect elevated BUN levels in a client with diabetic ketoacidosis. Follow-up findings โ ANSWER-Follow up on visual disturbances, tingling of the lips, hand grasps, and expressive aphasia. Epoetin alfa understanding โ ANSWER- Understand that taking the medication will increase energy levels. Pancreatitis laboratory findings โ ANSWER- Expect decreased calcium levels in a client with pancreatitis.
Chronic kidney disease psychosocial care โ ANSWER-Tell the client that it is possible to return to similar previous levels of activity. Pseudomonas aeruginosa infection prevention
Testicular self-examination โ ANSWER- Instruct the client to roll each testicle between the thumb and fingers to feel for any lumps deep in the centre of the testicle. Hyperthyroidism assessment โ ANSWER- Report blood pressure of 170/80 mm Hg to the provider as a priority finding. Muscle cramps and tingling sensation โ ANSWER-Administer calcium carbonate to a client experiencing muscle cramps and tingling sensation in the hands. Seizure intervention โ ANSWER-Turn the client to the side during a seizure to prevent aspiration. Medication to withhold prior to cardioversion
Dysphagia bedside item โ ANSWER-Place a suction machine at the client's bedside to clear the airway as needed and reduce the risk of aspiration. Contrast dye assessment โ ANSWER-Further assess a client's history of asthma before a CT scan with IV contrast agent due to the risk of a reaction to the dye. Exophthalmos assessment โ ANSWER- Identify image D as indicating exophthalmos in a client with Graves' disease. Role change risk โ ANSWER-Recognize that a client with multiple sclerosis and progressive difficulty ambulating is at risk for experiencing a role change. Lactulose adverse effect โ ANSWER-Identify hypokalaemia as an adverse effect of lactulose due to excessive stools.
DKA laboratory findings โ ANSWER-Expect elevated BUN levels in a client with diabetic ketoacidosis. Follow-up findings โ ANSWER-Follow up on visual disturbances, tingling of the lips, hand grasps, and expressive aphasia. Epoetin alfa understanding โ ANSWER- Understand that taking the medication will increase energy levels. Pancreatitis laboratory findings โ ANSWER- Expect decreased calcium levels in a client with pancreatitis. TPN infusion rate calculation โ ANSWER-Set the IV pump at 167 mL/hr to deliver 2000 kcal/day with a TPN solution concentration of 500 kcal/L. Ureterostomy care โ ANSWER-Cut the opening of the skin barrier one-eighth inch wider than the stoma to minimize skin irritation.
Role change risk - ANSWERRecognize that a client with multiple sclerosis and progressive difficulty ambulating is at risk for experiencing a role change.
