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Ati med surg quiz

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Total Questions : 20

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Question 1:

A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (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: "43.18" mg

Explanation

Convert pounds to kilograms:

95 lbs / 2.2 lbs/kg = 43.18 kg

2. Calculate the dose:

Dose (mg) = Dose per kg (mg/kg) x Weight (kg)

Dose (mg) = 1 mg/kg x 43.18 kg = 43.18 mg

Therefore, the nurse should administer 43.2 mg of enoxaparin per dose.


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Question 2:

The nurse is preparing to perform a tuberculin skin test using purified protein derivative (PPD). Which of the following interventions would be important for the nurse to include in the plan of care? (Select all that apply.)

Answer and Explanation

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Question 3:

A nurse is caring for a client who requires isolation for active pulmonary tuberculosis. Which of the following precautions should the nurse take to prevent the spread of infection? (Select all that apply.)

Answer and Explanation

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Question 4:

When obtaining a health history from a patient suspected of having community-acquired pneumonia, the nurse should ask the patient about the presence of which of the following symptoms?

Answer and Explanation

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Question 5:

A nurse is caring for a client whose arterial blood gas results show a pH of 7.5, an HCO3. of 22, and a PaCO2 of 25 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

Answer and Explanation

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Question 6:

A client with pneumonia presents with wheezing on auscultation. The nurse would anticipate which medication to be ordered?

Answer and Explanation

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Question 7:

Past medical history: Asthma and diabetes mellitus type 2

Current medications: Albuterol 2 inhalations per metered dose inhaler every 6 hr. Metformin 500 mg PO BID.

Blood pressure 92/60 mm Hg

Heart rate 90/min

Respiratory rate 26/min

Axillary temperature 38.9° C (102° F)

Oxygen saturation 96%

The client was sent to the ED by their provider. The client was in the office for an appointment and found to have a high fever, fatigue, muscle aches, chills, dyspnea, and a productive cough with greenish-brown sputum. Client states the symptoms began 24 hours ago.

A nurse in the emergency department is caring for a client who has an elevated temperature and reports fatigue and muscle aches.

 

Exhibits

Which of the following actions should the nurse take? (Select all that apply.)

Answer and Explanation

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Question 8:

A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which of the following actions should the nurse take?

Answer and Explanation

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Question 9:

A nurse is educating a client on the use of Pyrazinamide for tuberculosis. Which of the following statements is correct?

Answer and Explanation

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Question 10:

The nursing assistant reports to the registered nurse (RN) that an older adult client who has been alert and oriented has become increasingly confused over the past 3 hours. What would be the best nursing action to perform next?

Answer and Explanation

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