2024 ATI Capstone Med Surg Assessment - Questions and Answers

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2024 ATI Capstone Med Surg Assessment - Questions and Answers A nurse in an emergency department is caring for a pt who has sustained multiple injuries, the nurse observes the pt's thorax moving inw... ard during inspiration and outward during expiration, the nurse should suspect which of the following injuries a. flail chest b. hemothorax c. pulmonary contusion d. pneumothrowx A nurse is admitting a pt who has suspected appendicitis, what finding should the nurse report immediately a. WBC of 15000 b. temperature of 99.1 c. distended board-like abdomen d. rebound tenderness A nurse is caring for a pt who has mild dehydration, the pt has a peripheral IV and is prescribed 0.9% sodium chloride 1,000mL with 40 mEq potassium chloride to infuse in 1 hour, what action should the nurse take first a. consult pharmacist b. teach the client about finding c. evaluate patency d. verify the prescription with the provider(risk for fluid overload and dysrhythmia from rapid potassium IV infusion) A nurse is assessing a pt who has a heart rate of 40/min, the pt is diaphoretic and has chest pain, what medication should the nurse plan to administer a. lidocaine b. adenosine c. atropine d. verapmil A nurse is planning care for a client who has acute post-streptococcal glomerulonephritis, what interventions should the nurse include in the pt's plan of care a. encourage high protein diet b. administer diuretics to the client c increase clients fluid d. weight the client A nurse is caring for a pt who has right sided pneumothorax, following chest tube insertion what finding indicates that the chest drainage system is functioning correctly a. gentle bubbling in the suction chamber b. constant bubbling c. crepituus d. absesnse of bubbling A nurse is caring for a pt who is postop following a below-the-knee amputation, what interventions should the nurse include teach the pt to perform hip extension exercises A nurse is assessing a pt who has a new diagnosis of acute glomerulonephritis, what finding should the nurse expect a. cloudy urine b. yellow urine c. brown colored urine d. red urine A nurse is providing discharge instructions to a pt who has a new AV fistula to the right forearm for hemodialysis, what statement should the nurse include a. keep the right arm elevated above the level of your heart b. keep the left arm elevated above the level of the heart c. do not elevate anything A nurse is providing discharge instructions to a pt who is to perform dressing changes to an incision at home, what statements by the pt indicates an understanding of the teaching a. I should wash my hands during the dressing change b. "I should wash my hands before both removing and applying the dressing" c. I should only wash my hands after A home health nurse is caring for a pt who has COPD and is on home oxygen at 2L/min via nasal cannula, the pt tells the nurse that she is experiencing difficulty breathing, what action should the nurse take first? 1. observe pt hr 2. observe the pt's respiratory effort 3. observe pt BP A nurse is providing discharge teaching to a pt who has SLE, which of the following instructions should the nurse include [Show More]

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