ATI Learning System PN Medical Surgical Final Quizlet

Questions 63

ATI LPN

ATI LPN Test Bank

ATI Learning System PN Medical Surgical Final Quizlet Questions

Question 1 of 5

The healthcare provider is caring for a client who has just undergone a thyroidectomy. Which assessment finding requires immediate intervention?

Correct Answer: C

Rationale: Numbness and tingling around the mouth can indicate hypocalcemia, a potential complication after thyroidectomy. Hypocalcemia can occur due to inadvertent injury or removal of the parathyroid glands during the thyroidectomy, leading to decreased calcium levels. As a result, the client may experience symptoms such as numbness, tingling, muscle cramps, or spasms. Prompt intervention is necessary to prevent severe complications like tetany or seizures. Therefore, the healthcare provider should address numbness and tingling around the mouth immediately to prevent further deterioration of calcium levels and potential serious outcomes.

Question 2 of 5

Which problem in a client requires the most immediate intervention by the nurse?

Correct Answer: B

Rationale: Increasing sharp pain related to compartment syndrome necessitates immediate intervention as it may lead to permanent damage to muscles and nerves. Compartment syndrome is a serious condition that requires urgent medical attention to prevent further complications such as tissue necrosis and nerve injury.

Question 3 of 5

A patient with anemia is prescribed ferrous sulfate. What advice should the nurse give regarding the administration of this medication?

Correct Answer: B

Rationale: The correct advice for the administration of ferrous sulfate is to take it on an empty stomach for best absorption. This enhances the absorption of iron. If gastrointestinal upset occurs, the medication can be taken with food. Taking ferrous sulfate with dairy products or before bedtime is not recommended. Vitamin C can actually help with the absorption of iron and is often recommended to be taken alongside iron supplements to enhance absorption.

Question 4 of 5

A patient with heart failure is prescribed digoxin. What is the most important instruction the nurse should provide?

Correct Answer: C

Rationale: Patients taking digoxin should be instructed to report any visual disturbances, as this can be a sign of digoxin toxicity.

Question 5 of 5

The patient admitted with diabetic ketoacidosis has rapid, deep respirations. What action should the nurse take?

Correct Answer: C

Rationale: The rapid, deep (Kussmaul) respirations in a patient with diabetic ketoacidosis indicate a metabolic acidosis, necessitating correction with a saline bolus to prevent hypovolemia, followed by insulin administration to facilitate glucose re-entry into cells. Oxygen therapy is not warranted as the increased respiratory rate is not due to hypoxemia but is compensatory in response to acidosis. Encouraging slow breathing or administering lorazepam would be inappropriate as they can worsen the acidosis by suppressing the compensatory respiratory effort.

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