ATI Med Surg Online Practice A and B with rationales.docx

Calcium can interfere with the metabolism of

Info icon This preview shows pages 18–20. Sign up to view the full content.

View Full Document Right Arrow Icon
Calcium-- can interfere with the metabolism of levothyroxine A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious anemia? Glossitis tongue-- a smooth red tongue is also a manifestation of deficiencies in vitamin B6, zinc, niacin or folic acid A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should postpone the testing and report to the provider which of the following findings? Current medications Ibuprofen Olmesartan Prednisone --prednisone can diminish the client's reaction to the allergens A nurse is preparing to administer a unit of packed RBC's to a client. Which of the following actions should the nurse take? Remain with the client for the first 15 minutes of the infusion-- reactions usually occur for the first 50mL of blood or about 15-30 minutes after A nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take? Loosen restrictive clothing-- to prevent injury and suffocation An older adult client is brought to the ED by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? Urine specific gravity is 1.045-- a specific gravity greater than 1.030 indicates a decrease in urine volume and and increase in osmolarity, which is a manifestation of hypertonic dehydration A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following nonpharmacological interventions should the nurse suggest tot he client to reduce pain?
Image of page 18

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Alternate application of heat and cold to the affected joints-- the cold can relieve joint swelling and heat can decrease joint stiffness A nurse in an emergency department is caring for a client who reports chest pain of 8 on a pain scale of 0 to 10. Which of the following actions should the nurse take first? Administer morphine-- greatest risk is injury from myocardial ischemia, in turn increasing oxygen supply and decrease the oxygen demand of the heart A nurse in an emergency department is assessing a client who has a detached retina. Which of the following should the nurse expect the client to report? It's like a curtain closed over my eye-- the separation of the retina from the epithelium is what causes a darkness to cover the eye A nurse is providing teaching to a client who has a recent diagnosis of constipation- predominant irritable bowel syndrome. Which of the following instructions should the nurse include in the teaching? Consume at least 30G of fiber daily-- helps produce bulky, soft stools and establish a regular bowel pattern A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. Which of the following values should the nurse identify as a desired outcome for this therapy? INR 2.5 A nurse is preparing to administer amikacin 500mg by intermittent IV bolus to a client. Available is amikacin 500mg in dextrose 5% in water (D5W) 200mL to infuse over 30 minutes. The nurse should set the IV pump to deliver how many mL/hr?
Image of page 19
Image of page 20
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern