ATI PROCTORED MED SURG 2022
A nurse is preparing to administer thrombolytic therapy to a client who has an ischemic stroke. Which of
the following is an appropriate nursing action?
Elevate the HOB between 25 and 30 de
...
ATI PROCTORED MED SURG 2022
A nurse is preparing to administer thrombolytic therapy to a client who has an ischemic stroke. Which of
the following is an appropriate nursing action?
Elevate the HOB between 25 and 30 degrees.
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions
should the nurse include in the teaching?
Hold breath about 3 to 5 seconds before exhaling.
A nurse is assessing a client who is 12 hr. postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon?
Absent bowel sounds.
A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the
nurse plan to administer?
Desmopressin.
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3
years. Which of the following test should the nurse monitor?
Stool occult blood.
A nurse in the emergency department is assessing a client. Which of the following actions should the
nurse take first?
Initiate airborne precautions.
A nurse is contacting the provider of a client who has cancer and is experiencing breathrough pain. Which
of the following prescriptions should the nurse anticipate?
Transmucosal fentanyl.
A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of
the following should the nurse analyze to determine whether the client is experiencing a myocardial
infarction?
ST segment.
A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which
of the following instructions should the nurse include?
Pat the skin on the radiation site to dry it.
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes the client has
bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate
administering which of the following prescribed medications?
Furosemide.
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