ATI PROCTORED MEDSURGE EXAM LATEST UPDATE

ATI PROCTORED MEDSURGE EXAM

1. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? Bradycardia- more tachycardia cuz of a failing ventricle , SNS is activated to compensate . Flushed skin- duskly it wIll look like
Frothy sputum-Left sided- can be blood tinged

Jugular vein distention→ RightRationale: ATI MS: pg. 198 ch 32 pdf
Left side: dyspnea, orthopnea, fatigue, pulmonary congestion, frothy sputum, organ failure such as oliguria. RightSide:Jugularveindistention,ascendingdependentedema,abdominaldistention,polyuriaarrest,liver enlargement,

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Which of the following actions should the nurse take? (Select all the apply?). Check answer i read pg 644-647 med surg it’s not so specific p. 370 ch 57 pdf
monitor the access site for drainage.- to check for sxs of infection.
Strip the catheter tubing

Measure the amount of the dialysate outflow
Raise the client to high fowlers position- they must lie supine Position the client to her other side.

Collect urine specimen from the drainage bag 1 hr after insertion Raise the head of the bed to 45 degrees prior to insertion
Secure the catheter to the client's inner thigh
Attach the bag to the rail of the bed. –under non movable area

A possiblecauseofthisproblemislong-termlackofdietaryprotein
You probably have a Detachment of your retina -vision is like having curtains over eyes You probably have noticed a decline in your central vision
The doctor can perform surgery to correct the start paying the folds in your retina

Rationale:ATIMS:PG.63 Maculardegeneration,oftencalledage-relatedmaculardegeneration(AMD),isthe central loss of vision that affects the macula of the eye. NO cure , happens alot in old people. Sxs: distorted vision, blurred vision, caused by smoking, female, HTN, diet lacking carotene.

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 expect the client to have referred pain. ( Find “hot spots” in the artwork) Pain travels

downward to the inguinal area and lower back