ATI W26 Med Surg Final Proctored Exam

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating

The nurse assesses a client with sepsis. Which evaluations should the nurse include in a focused assessment? Select all that apply.

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follow

The physician prescribes ticarcillin 35 mg IV every 4 hours for a client post kidney transplant. The client weighs 14 lbs. The nursing drug reference recommends a maximum of 20-30 mg/kg/day. Is the or

The nurse is caring for a client receiving chemotherapy for acute leukemia. The client reports chills and weakness. Assessment findings include a temperature of 101 F (38.3 C), heart rate 142 beats pe

A client with nephrotic syndrome is prescribed lisinopril. Which statement by the client indicates a need for further teaching?

A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?

A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of the fol

The nurse prepares to do a focused assessment on a client who was successfully treated for bleeding esophageal varices yesterday. Which body system should the nurse prioritize?

A client with a full-thickness burn to the front of the left leg underwent skin grafting. The nurse notes pain 6/10, dressing dry and intact, and slight edema at the graft site. Which action is the pr

The nurse suspects that a client with pancreatitis has developed hypocalcemia. Which electrocardiogram finding supports the nurse's suspicion?

A client with full-thickness and circumferential burns to the chest has been intubated and is experiencing pressure from edema that is inhibiting chest wall expansion. Which procedure should the nurse

A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is

The nurse prepares to administer a 1,000 mg loading dose of phenytoin IV to a client with a subarachnoid hemorrhage. Which consideration is most important when administering this dose?

A client with a brain tumor is experiencing sudden onset of severe headache, vomiting, and altered level of consciousness. Which condition should the nurse suspect?

A client with a traumatic brain injury demonstrates decorticate posturing. Which change indicates worsening neurologic status?

A nurse is educating a Type 1 diabetic client with new-onset atrial fibrillation about the risks associated with the condition. Which complications should the nurse emphasize?

A client with a right hemisphere stroke is eating lunch. The nurse notes the client is only eating food from the right side of the tray and is unaware of food remaining on the left side. What is the n

A nurse is providing discharge teaching to a client who has completed radiation therapy for a brain tumor. Which statement by the client indicates a need for further education?

The trauma intensive care nurse suspects a client with a C6 fracture has developed neurogenic shock. Which findings support the nurse's suspicion?

The nurse is caring for a client with acute decompensated heart failure. The client's hemodynamic monitoring shows a mean arterial pressure (MAP) of 55 mm Hg. What is the priority nursing intervention

The nurse determines that the fluid status of the client with a deep partial thickness burn is inadequate and calls the provider. The client is five hours postburn and weighs 60 Kg. Which findings pro

The hospice nurse is working with a volunteer. Which task could the nurse delegate to the volunteer?

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

The nurse completes teaching the client with a deep partial thickness burn about silver sulfadiazine. Which client statements indicate that the teaching was effective? Select all that apply.