ATI RN MEDICAL-SURGICAL PROCTORED EXAM LATEST FORM C QUESTIONS & ANSWERS LATEST UPDATE A RAKED.
1. The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
a. Hyperglycemia
b. Diarrhea
c. Constipation
d. Hypoglycemia- You taper it off to avoid this!!!
Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated. An abrupt rate change can alter blood glucose levels significantly.
Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia
2. A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will give him an electric shock. Which of the following is an appropriate response by the nurse?
a. The machine only senses and records electrical currents coming from your heart – pg.170
➢ Electrocardiography uses an electrocardiograph to record the electrical activity of the heart over time.
b. The lead wires and cables are insulated for your safety
c. The electrode pads will prevent the conduction of electricity to your skin
d. The machine voltage delivery is low enough that you won’t feel any discomfort
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