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Ati med surg final exam
Total Questions : 40
Showing 10 questions, Sign in for moreA nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?
A nurse at a provider's office is instructing a client who is scheduled for an outpatient barium swallow. Which of the following statements by the client indicates an understanding of the teaching?
A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?
A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should recognize that the priority concern in caring for the client is to monitor for
A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?
A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?
A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority?
A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse's initial action?
Month One:
WBC count 15.500/mm3 (5.000 to 10,000/mm)
RBC count 4.3 million/mm3 (4.2 to 5.4 million/mm)
Hemoglobin 15 g/dL (12 to 16 g/dL)
Hematocrit 45% (37% to 47%)
Platelet count 160,000/mm3 (150,000 to 400,000/mm)
PT 11.5 seconds (11 to 12.5 seconds)
Explanation
- Clients with acute leukemia develop immature, abnormal white cells that crowd out normal cells in the bone marrow. This leads to low platelet production, increasing the risk of bleeding, even if the platelet count here is just at the lower end of normal.
- Leukemia also weakens bones due to marrow overactivity and infiltration, so the client is at increased risk for fractures.
- Dysrhythmia is not a direct complication of leukemia itself; it is more commonly linked to electrolyte disturbances or chemotherapy side effects, not the disease process in this case.
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