ATI PROCTORED MEDSURGE EXAM

1. A nurse is assessing a clientwhohasleft-sided heart failure.Whichofthe following findingsshould the nurse expect?

Bradycardia- more tachycardia cuz of a failing ventricle, SNS is activated to compensate.

Flushed skin-dusklyitwIll look like

Frothy sputum-Leftsided-can be blood tinged

Jugular vein distention→RightRationale:ATI MS: pg. 198 ch 32 pdf

Leftside: dyspnea, orthopnea,fatigue, pulmonary congestion, frothysputum,organ failure such as oliguria.

Right Side:Jugular veindistention,ascending dependent edema, abdominaldistention,polyuria arrest, liver

enlargement,

A nurse is assessing a client who is experiencing renal colic from a calculus in left renal pelvis. Identify the area

where the nurse should expectthe clientto have referred pain.( Find “hotspots” in the artwork) Paintravels

downward to the inguinal area and lower back

Renal colicoccursin the kidney area. Referredpain issomewhere that happensin anotherplace otherthan

where the pain should be felt.

A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate.

Which of the following actionsshouldthe nurse take? (Select all the apply?). Check answeriread pg 644-647

med surg it’s not so specific p. 370 ch 57 pdf

monitorthe accesssite fordrainage.-to check forsxs of infection.

Strip the cathetertubing

Measure the amount ofthe dialysate outflow

Raise the clientto high fowlers position-theymustlie supine

Position the clientto herotherside.

A nurse is planning to insert an indwelling catheterfor a female client. Which ofthe following actionsshould

the nurse plan to take?Ati video tutorials foley

Collect urine specimen fromthe drainage bag 1hr afterinsertion

Raise the head ofthe bed to 45 degrees priorto insertion

Secure the catheterto the client'sinnerthigh

Attach the bag to the rail ofthe bed. –undernonmovable area

A nurse is providing teaching for a clientwho has age-relatedmaculardegeneration which of the following

information should the nurse include in the teaching

A possiblecause ofthis problemislong-termlack of dietary protein

You probably have aDetachment of yourretina -vision islike having curtains overeyes

You probably have noticed adeclinein your central vision

The doctor can performsurgery to correctthe start paying the foldsin yourretina

Rationale:ATIMS:PG. 63 Maculardegeneration, often called age-relatedmaculardegeneration(AMD), isthe

central loss of vision that affectsthe maculaofthe eye.NOcure , happens alotin old people.Sxs: distorted

vision, blurredvision, caused by smoking, female, HTN, diet lacking carotene.