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

Ensure that the client has a patent iv in the event

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Ensure that the client has a patent IV in the event that the client requires medication to stop seizure activity A nurse is caring for a client who has bilateral pneumonia and an spo2 of 88% the client is dyspneic and productive cough and is using accessory muscles to breathe which of the following actions should the nurse take first Place the client in a high Fowler's position A nurse is caring for a client who has a new diagnosis of hyperthyroidism which of the following is the priority assessment finding that the nurse should report to the provider Blood pressure of 170 over 80 because using the Urgent vs. Non-urgent approach to client care the nurse determines that the priority funding is a systolic blood pressure of 170 which indicates that the client is at risk for thyroid storm A nurse is reviewing the medication history of a client who is to undergo allergy testing the nurse should instruct the client to discontinue which of the following medications before testing Prednisone because it is a glucocorticoid that can cause the client to have false negative test results they should discontinue antihistamine medications several weeks prior to testing A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take?
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Place a pressure bag around the flush solution. The nurse should place a pressure bag around the flush solution because the pressure from an artery is greater than that of the line A nurse is caring for a client who has a new prescription for tpn the client is to receive 2,000 kcalories per day the t-pn solution has 500 kcalories per liter the IV pump should be set at how many milliliters per hour 167 milliliters per hour A nurse is providing teaching to a client who has AIDS which of the following statements by the client indicates an understanding of the teaching I will take my temperature once a day a client who has AIDS is immunocompromised and is at risk for infection the client should take his temperature daily to identify a temperature greater than 100 degrees which is an early manifestation of an infection A nurse is assessing a client who has peripheral artery disease which of the following findings should the nurse expect Hair loss on the lower legs the nurse should expect a client who is Peripheral arterial disease to have hair loss on the lower legs as a result of impaired arterial circulation affecting follicular growth A nurse is providing teaching to an older adult client who has cancer and a new prescription for an opioid analgesic for pain management which of the following information should the nurse include in the teaching You should increase your fiber intake to prevent constipation because opioids slow paracelsus in the gastrointestinal tract which causes constipation A nurse is planning care for a client who is scheduled for a thoracentesis which of the following interventions should the nurse include in the plan Encourage the client to take deep breaths after the procedure to read expand the lung
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