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ATI nur330 med surg exam
Total Questions : 35
Showing 10 questions, Sign in for moreA nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?
A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following should the nurse understand is a possible consequence of a TBI?
0820:
20-year-old client presents to the emergency department with severe burns. Client is grimacing and rates pain as 5 on a scale of 0 to 10. Patent airway. No increased work of breathing.
0820:
Blood pressure 140/80 mm Hg
Heart rate 110/min
Respiratory rate 25/min
SaO2 98% on room air
Temp 36.1° C (97° F)
2030:
Client is screaming and crying in pain. Client reports pain as 10 on a scale of 0 to 10. Client is very anxious and is breathing rapidly. Patent airway. Lungs are clear to auscultation bilaterally.
A nurse is caring for a client who has severe burns.
Select all that apply.
The nurse is providing care for a patient that is scheduled for a balloon valvuloplasty. The nurse recalls that balloon valvuloplasty is most commonly used for which valvular heart disease?
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
(Select All that Apply.)
A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?
0800:
Client is alert and oriented to person, place, and time. Seizure pads placed on the client's bed. Suction equipment is at the client's bedside and functioning. Oxygen equipment is at the client's bedside.
1000:
Client is in bed and reports experiencing an aura, followed by generalized jerking contractions of arms and legs. Client incontinent of urine and unresponsive to commands.
1004:
Client's jerking contractions of arms and legs continues. Yellow, watery emesis approximately 45 mL on gown: 2 to 5-second-long periods of apnea.
1002:
Heart rate 86/min
Respiratory rate 12/min
Oxygen saturation 86% on room air
A nurse is caring for a client who has a seizure disorder.
A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?
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