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med surg ATI 2019B,100% CORRECT

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1. A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as manifestation of this condition? a. Bounding pedal pulse b. Capillary refill less than 2 seconds c. Pain that increases with passive movement d. Areas of warmth on the cast 2. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching? a. “I will need to take antibiotics for 1 year.” b. “My partner will need to take an antiviral medication.” c. “My joints ache because I have Lyme disease.” d. “I bruise easily because I have Lyme disease.” 3. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should the nurse administer? a. 24 4. A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take? a. Flush the line before administering antibiotics b. Position the client in Trendelenburg to obtain measurements. c. Have the client bear down when readings are obtained d. Place a pressure bag around the flush solution. 5. A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the nurse identify as the priority? a. Report of sore throat b. Report of memory loss c. Alopecia d. mucositis 6. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? a. Facial butterfly rash b. Bradycardia c. Esophagitis d. Interstitial fibrosis 7. A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the following actions should the nurse identify as the priority? a. Use pillows to support the client’s head and neck. b. Offer opioid medication. c. Place a tracheostomy tray at bedside. d. Place the client in semi-Fowler’s position. 8. A nurse is assessing a client who has a diabetes insipidus. Which of the following findings should the nurse expect? a. Low urine specific gravity b. Hypertension c. Bounding peripheral pulses d. hyperglycemia 9. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include? a. “you will have an implant placed twice each month for the duration of treatment.” b. “you should remain at least 6 feet away from others between treatments.” c. “you should expect to have blood in your urine for a few days after treatment.” d. “you will need to stay still in the bed during each treatment session.” 10. 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? a. Encourage the client to take deep breaths after the procedure. b. Assist the client to hold their arms up during the procedure. c. Instruct the client to remain NPO after midnight prior to the procedure. d. Keep the client on bed rest for 8 hr following the procedure.

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