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ATI - MedSurg Proctored test Bank updated for 2022-2023

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The ATI MedSurg Proctored Test Bank has been updated for 2022-2023. A nurse caring for a client receiving a blood transfusion notes bounding peripheral pulses, hypertension, and distended jugular vein... s, indicating fluid overload. The nurse anticipates administering Furosemide. When assessing a client receiving IV magnesium sulfate for hypomagnesemia, an apical pulse of 82/min indicates effectiveness. For a lumbar puncture, the nurse assists the client into the "Cannonball position on the side" (#4 on ATI page 20). ABG results of pH 7.42, PaCO2 30 mm Hg, and HCO3 - 21 mEq/L suggest compensated respiratory alkalosis. Prior to a procedure requiring IV contrast dye, the nurse should withhold Metformin at 0800. Care for a client with seizures due to meningitis includes having suction equipment, dimming lights, and applying a warming blanket. Debridement for a pressure ulcer with necrotic tissue typically involves enzymatic or surgical methods. Toxic shock syndrome may present with a generalized rash and hypertension. Administering medication through a nontunneled percutaneous central catheter requires flushing the catheter with 10 mL of 0.9% sodium chloride. During NG tube suction, a distended and firm abdomen should be reported to the provider. Diabetes insipidus is characterized by diluted urine with low specific gravity. In thyroid storm, cooling measures like a cooling blanket are crucial. Acute gout may lead to an increase in uric acid levels. ATI - MedSurg Proctored test Bank updated for 2022-2023 - A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications? Acetaminophen -Furosemide (this patient has fluid overload from the transfusion) Diphenhydramine Pantoprazole A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of hypomagnesemia. Which of the following findings indicates effectiveness of the medication? -Lungs clear -Hypoactive bowel sounds- Reduced motility, anorexia, nausea, constipation, and abdominal distention are common. A paralytic ileus may occur when hypomagnesemia is severe. -Blood pressure 90/50 mm Hg-hypomagnesemia causes hypertension, but this is too low, abnormal -Apical pulse 82/min One aspect of the conduction problems is that, when serum magnesium levels are low, intracellular potassium levels are also low. This changes the resting membrane potential in cardiac muscle cells, slowing normal conduction and triggering ectopic beats. A nurse is preparing a client for a lumbar puncture. Which of the following images indicatesthe position the nurse should assist the client into for this procedure? - “Cannonball position on the side” picture #4 (ATI page 20) A nurse is reviewing a clients ABG results: pH 7.42, PaCO2 30 mm Hg, and HCO3 - 21 mEq/L. The nurse should recognize these findings as an indication of which of the followingconditions? -Compensated respiratory alkalosis -Uncompensated respiratory acidosis -Metabolic acidosis -Metabolic alkalosis A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications togive at 0800 should the nurse withhold? -Metoprolol -Metformin -Fluticasone -Valproic Acid A nurse is planning care for a client who is experiencing seizures secondary to meningitis.Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) -Assist the client to ambulate every 4 hr. -Place a tongue blade at the bedside. -Have suction equipment at the bedside. -Dim the overhead lights. -Apply a warming blanket. A nurse is caring for a client who has a pressure ulcer with necrotic tissue and requires wetto damp dressing changes daily. Which of the following types of debridement should the nurse include in the plan of care? -Enzymatic -Surgical -Autolytic -Mechanical A nurse is caring for a female who has toxic shock syndrome. Which of the followingfindings should the nurse expect? -Elevated platelet count -Decreased total bilirubin -Generalized rash -Hypertension A nurse is preparing to administer a medication for a client though a nontunneledpercutaneous central catheter. Which of the following actions should the nurse take? -Close the inline clamp -Apply a local anesthetic to the skin -Don sterile gloves -Flush the catheter with 10 mL of 0.9% sodium chloride. A nurse is caring for a client who was admitted with nausea, vomiting, and a possible bowelobstruction. An NG tube is placed and set to a low intermittent suction. Which of the following findings should the nurse report to the provider? -The client reports being extremely thirst with a sore throat -The drainage is bright green in color with brown fecal material -The amount of drainage is gradually decreasing -The client’s abdomen becomes distended and firm. A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of thefollowing findings should the nurse expect? -Elevated blood pressure -Hypothermia -Urine specific gravity 1.001 -Bun 15 mg/d: The nurse is caring for a client who has hyperthyroidism and develops thyroid storm. Whichof the following instructions should the nurse give to the client regarding management of thyroidstorm? -You will need to begin taking an ACE inhibition medication -You will need a pacemaker to increase your heart rate -You will need a cooling blanket to lower your body temperature -You will need additional thyroid supplementation The nurse is reviewing the medical record of a client who has acute gout. The nurse shouldexpect an increase in which of the following laboratory results? -Uric acid -Intrinsic factor -Creatinine kinase -Chloride level [Show More]

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