. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should
the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/
...
. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should
the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to
administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and to stop patient
on urinating.
3. 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?
a. Fasting blood glucose
b. Stool for occult blood - GI bleed
c. Urine for white blood cells
d. Serum calcium
Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody,
tarry stools, abdominal pain).
4. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take
first (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of
data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron.
Rationale: No idea what the Exhibit is all about; won’t be able to answer it.
5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough pain. Which of
the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
Rationale: ATI pg. 27 Morphine sulfate and fentanyl are opioid agents used to treat moderate to severe pain. A
short-acting pain medication is administered for breakthrough pain.
6. 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?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
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