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Capstone ATI NCLEX Medical Surgical Assessment 1 WITH QUESTIONS AND ANSWERS LATEST UPDATE WITH RATIONALES RATED & GRADED A+

A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62%
- ANSWER>>C Urine specific gravity 1.020
Within the expected range of 1.005-1.030

A nurse is monitoring the laboratory findings for a client who is postoperative following a total hip arthroplasty 6 hr ago. Which of the following values indicates that the client has an increased risk for bleeding

A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million
- ANSWER>>C Platelets 80,000
platelet range is 150,000-400,000

A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle crash. Which of the following interventions is the nurse's priority while caring for this client

A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing
- ANSWER>>D Assist the client with quad coughing
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the priority is to ensure the client can clear their airway. Apply abdominal pressure as the client coughs (quad coughing)

A nurse is caring for a client who is receiving a blood transfusion. Which of the following findings indicates that the client is experiencing transfusion-associated circulatory overload

A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia
- ANSWER>>C Dyspnea
Dyspnea is an indication of possible transfusion associated circulatory overload, leading to hypertension, bounding pulses, and confusion. Dyspnea can also indicate transfusion related acute lung injury to an anaphylactic response, which also causes wheezing, chest tightness, cyanosis, and low BP

A nurse is assessing a client who has lung cancer and is undergoing radiation therapy to the chest. Which of the following indicates an adverse effect of the therapy

A. Hair loss on the scalp
B. Sweating at the treatment site
C. Altered taste sensations
D. Intolerance to cold
- ANSWER>>C Altered taste sensations
Altered taste is a result of the release of metabolites by dead cells

A nurse is preparing to administer a unit of packed RBCs to a client who has anemia. Which of the following actions should the nurse plan to take (select all that apply)

A. Obtain pre-transfusion temperature
B. Prime the IV tubing with lactated Ringer's
C. Instruct an assistive personnel to monitor the client during the transfusion
D. Verify the client's blood type with a second nurse
E. Use a 20 gauge IV needle for ve

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Specificaties

Niveau: University
School: Chamberlain College Of Nursing
Opleiding: NURSING
Vaknaam: Capstone ATI NCLEX Medical Surgical Assessment 1 WITH QUESTIONS AND ANSWERS LATEST UPDATE WITH RATIONALES RATED & GRADED A+
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Vakcode: Capstone ATI NCLEX Medical Surgical Assessment 1 WITH QUESTIONS AND ANSWERS LATEST UPDATE WITH RATIONALES RATED & GRADED A+
Studiejaar: 2024
Document
Rubriek: Tentamens
Gemaakt op: 13-06-2024
Type: .pdf
Pagina's: 23
Taal: English
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Capstone ATI NCLEX Medical Surgical Assessment 1 WITH QUESTIONS AND ANSWERS LATEST UPDATE WITH RATIONALES RATED & GRADED A+

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