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Ati ew n300 med surg final exam

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Total Questions : 73

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Question 1:

The nurse identifies the client problem of Impaired Verbal Communication for a client following a stroke who exhibits expressive aphasia. An appropriate nursing intervention to help the client to communicate is to:

Answer and Explanation

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Question 2:

The nurse notices a yellow stain around fluid dripping from a patient's ear who sustained a traumatic brain injury. The nurse's priority intervention will be as follows:

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Question 3:

A client has sustained a crush injury to the abdomen as the result of an industrial accident. The initial assessment and interventions have been carried out. The vital signs are stable, and the family is at the bedside. The client is complaining of bilateral flank pain. What is the priority nursing action for this client now?

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Question 4:

A nurse is preparing to administer hydrocortisone sodium succinate 350 mg via IV bolus every 6 hr. Available is hydrocortisone sodium succinate 1000 mg/8 mL. How many mL should the nurse administer? (Round the Answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "2.8" mL

Explanation

Dose to give (mL) = (Desired dose ÷ Available dose) × Available volume
= (350 ÷ 1000) × 8
= 0.35 × 8
= 2.8 mL

Answer: 2.8 mL


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Question 5:

The nurse is performing an assessment on a client. How would the nurse best evaluate improvement or deterioration in the neurologic status?

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Question 6:

The nurse is caring for a patient who is 24 hours post pacemaker insertion. Which nursing intervention is most appropriate at this time?

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Question 7:

Which of the following are risk factors associated with kidney cancer? (SELECT ALL THAT APPLY)

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Question 8:

The nurse caring for a client with severe sepsis suspects the client may be developing disseminated intravascular coagulation (DIC). Which of the following signs and symptoms would support the diagnosis of DIC?

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Question 9:

The nurse assesses the adult patient who weighs 132lb and discovers the following areas to be affected by burns: anterior trunk, anterior and posterior right leg, and anterior and posterior right arm. Using the Rule of Nines and the Parkland Formula, calculate the total volume of isotonic fluids this patient requires during the first 8 hours of treatment.

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Question 10:

The nurse is caring for a patient with severe, major burns who is receiving fluid resuscitation per protocol. Which of the following assessments indicate a positive outcome?

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