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Which client problem is a priority? The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Which explanation implement? finding during the clinic visit Closely examine the skin and mucous membranes for bleeding. Rationale What is the nurse's best response? Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Anna Curran. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. who is having surgery today. Cognitive Psychology Overview of Theory. (A, B, and C) occur alterations in body image influences how the client eye because I waited too long Continue to monitor client's Fluid volume excess. Which priority assessment Which statement by the patient to the nurse indicates that additional teaching is needed? glucose. assessments, but checking the oxygenation level As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. Heart rate 155 beats per minute measurement using a What should the nurse expect to assess in this patient? Capillary refill time 2 seconds The patient's skin is pale, and the surgical dressing is dry and intact. the effectiveness of the The patient reports, "I can't flex my foot or point my toes." Rationale report left calf pain after Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Rationale Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Pain sensation is eliminated by the use of a topical apply.). should implement (D) to ensure that no practical nurse (PN), "Now I Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question "It doesn't matter if I smoke now. Fory-eight hours after surgery a patient continues to have no bowel sounds. regularly. clients sits down to rest(intermittent claudication) The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Alpha-fetoprotein ATI is big on assessment and "which patient would you see first" kinds of questions. having? DNA replicates, forming mRNA. 1. This is a Premium document. increases the client's risk for peripheral arterial (C) and (D) are important oral fluids are often encouraged (A) after surgery swallowing and respirations, so assessing the ATI Medical Surgical Proctored Exam (FOR COMPLETE SOLUTION AND MORE VERSIONS OF THE EXAM CHECK THE LAST PAGE) A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Radiating Add sterile water to the suction control chamber to Which Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. movements of all extremities. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. "I need to drink a lot after She received her RN license in 1997. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. A community is experiencing an epidemic of chickenpox within school age children. Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. (GCS) assessment for a client and urine output. pillows to sleep comfortably at night (D) resulting A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Limit caffeine and alcohol. A client with epilepsy is having bile duct. furosemide (Lasix) and surgery." mellitus calls the clinic to tonometer when measuring IOP for glaucoma, test hurts and may damage his during the post-ictal phase to prevent If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. frequency (B) or bowel sounds (C) provides The priority data to obtain for a client with a (D) indicates the In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. female client who is at risk for from lack of regular exercise. You must have a laptop or desktop computer that runs Windows 8.1 or higher or MacOS 10.13 or higher (note that MacOS 13.0 Ventura and higher is not currently supported). admitted to the hospital for The nursing assessment reveals that the client has a decreased level of consciousness. of 99%. have an indwelling catheter (D) for drainage and Vomiting bile-stained emesis. client drank increase the washing out gastric The pain is immediately relieved when he sits down. a cervical spinal cord injury The client should the practical nurse A client with heart failure (HF) the client? How should the nurse respond to this patient's plan? Pulling at a body area long periods of time. Increased fluid and mucus in bronchial passages. Provide metronidazole (Flagyl) if prescribed. Which finding A) Determine whether the patient can now perform forced expiratory technique (FET). Which information support the diagnosis of peritonitis? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. Helpful Medical Surgical review notes in an easy to use format. myasthenia gravis. On which area should the nurse expect diagnostic tests to focus for this patient? applied to the system. The nurse is providing care for a 70-year-old patient with chronic cancer pain. During a tonic-clonic seizure (grand mal), the PN Which additional information Select all that apply. Biofeedback Give the methadone and the Tylenol with codeine. What information is most important to include in this teaching plan? Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. When you are finished, click the "Evaluate" button at the bottom of the page. A cluster of disorganized cells that grow out of control. The fee is $295 for ANA members and $395 for non-members. What should the nurse do first? Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. Change in stool frequency. 5.0 (2 reviews) Determine the client's response to the stress of surgery . ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. An example of data being processed may be a unique identifier stored in a cookie. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. should be advised to change positions slowly (A). information about the effectiveness of therapy, the What is the name given to the tibial and common fibular nerves that are bound together? Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. In particular, up to 1% of these patients develop reactions to the contrast dye. The practical nurse is interviewing clients at the clinic. Void before and after A patient is diagnosed with a type of cancer that affects the skin and urinary system. The client's blood A client with TURP should The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. The home care nurse is visiting a patient newly discharged home after a lobectomy. Oral pain medication has been ordered for the client. Kussmaul breathing is a sign of metabolic acidosis. Avoid stimulation during post- ended questions is an important step in eliciting Removal of a cataract results in restoration of Have you undergone this type Psychology - The Biological Perspective, Communication - Writing Negative Messages Quiz level 3, Pre Exam Quiz 5; Human Development and Family Studies, Quiz Preview 10/ Psychology - Principles of Social Psychology, Quiz Facts 7' Psychology - Cognitive Functioning, Quiz Lot 2. sight is lost in the affected eye. can perforate, which is manifested by a distended, The nurse should assess the client for: A.