Medical Surgical Nursing ATI Review Questions – Flashcards
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A nurse in a clinic is caring for a client who has suspected anemia. The nurse should anticipate a prescription from the provider for which of the following tests? a. INR b. Platelet count c. WBC count d. Hgb
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d. An Hgb test is prescribed to confirm a diagnosis of anemia
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A nurse is caring for a client who has hemophilia. The nurse should anticipate a prescription from the provider for which of the following tests? a. RBC b. TIBC c. aPTT d. MCH
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c. An aPTT checks the clotting factors in a patient who has hemophilia
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A nurse is reinforcing teaching for a client who is to have a bone marrow biopsy of the iliac crest. Which of the following statements by the client indicates a need for further teaching? a. "Cancer can be detected in the fluid being tested." b. "I will feel a heavy pressure sensation in my hip bone." c. "The type of antibiotic I need to take can be determined by this test." d. "I will be awake during the procedure."
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c. A culture and sensitivity test determines the type of antibiotics that a client who has an infection needs to take.
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A nurse should remain with a client during the first 15 minutes of a blood transfusion to a. verify the blood being transfused b. monitor for an adverse reaction c. explain the procedure to the client d. obtain blood specimens
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b. Monitoring the client during the first 15 minutes of the transfusion is important because this is when most blood reactions occue
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A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take when there is a transfusion reaction? (Select all that apply) a. Stop the transfusion b. Send the blood bag and IV tubing to the blood bank c. Maintain an IV infusion of 0.9% sodium chloride d. Elevate the client's feet E. Obtain blood cultures
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a. the first action is to stop the infusion b. the blood bag and administration tubing are sent to the laboratory for analysis. c. administer 0.9% sodium chloride solution through new IV tubing
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A nurse is monitoring a client who began receiving a unit of blood 10 min. ago. Which of the following pose an immediate concern for the nurse? (Select all that apply) a. Temperature change from 37 degrees Celsius (98.6) pretransfusion to 37.2 degrees Celsius (99) posttransfusion b. Dyspnea c. Heart rate increase from 74/min pretransfusion to 81/min posttransfusion d. Client report of itching e. Client appears flushed
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b. dyspnea can indicate a transfusion reaction d. a client report of itching can indicate transfusion reaction e. a flushed appearance of the client can indicate a transfusion reaction
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A nurse is reinforcing preoperative teaching with a client who will undergo an elective surgical procedure that will include a blood transfusion. Which of the following statements by the nurse should be included in the teaching? a. "You should make an appointment to donate blood 8 weeks prior to the surgery." b. "If you need an autologous transfusion, the blood your brother donates can be used." c. "We will have you come in to donate your blood the day before surgery." d. "You will receive the blood you donated 4 weeks prior to the surgery."
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d. An autologous transfusion involves collecting a client's blood no sooner than 5 weeks in advance, up to 72 hour prior to surgery so it can be transfused during an elective surgery.
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A nurse is monitoring a client receiving a blood transfusion. Which of the following medications should the nurse anticipate giving if the client experiences a mild allergic reaction to the transfusion? a. Acetaminophen b. Diphenhydramine c. Epinephrine d. Heparin
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b. Diphenhydramine is used to reduce inflammation caused by an allergic reaction
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A nurse is caring for a client with GERD. For which of the following instuctions should the nurse reinforce teaching? a. Limit caffeine intake to 2 cups of coffee per day b. Remain in upright position for 2 hr after eating c. Follow a low-protein diet d. Take medication with milk to decrease irritation
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b. The nurse should instruct the client to not lie down for 2hr after eating to prevent reflux.
