ATI Real Life PN Medical Surgical 3.0 - Urinary Tract Infection

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Mr. White asks Larry if he can take the morning dose of his blood pressure medication, which he didn't take at home. Which of the following is an appropriate response by the nurse?

"I will need to review the medication orders from the provider."

Larry is preparing to gather information about Mr. White's pain by performing a symptom analysis. He should collect information regarding the following pain characteristics. Place the questions that Larry should ask in the order of these characteristics: 1) Palliative or provoking factors 2) Quality 3) Region or radiation 4) Severity 5) Timing (Reorder the steps by dragging them into the desired sequence.)

5. when did the pain start? 2. what does the pain feel like? 3. where do you feel the pain? 1. what makes the pain better or worse? 4. how bad is the pain now?

Larry obtained an initial set of vital signs from Mr. White. Given his medical history and current medications, which of the following findings should concern the nurse?

Blood pressure 100/56

Larry is explaining why Mr. White has experienced weakness and is feeling tired and dizzy. Which of the following is an appropriate explanation?

Decreased blood pressure resulting from urosepsis

Larry is planning care for Mr. White in the administration of morphine. Which of the following clinical manifestations would indicate an adverse reaction to morphine?

Decreased respirations

Larry is reinforcing information about possible adverse effects of metoprolol (Lopressor) with Mr. White and his son. Which of the following should Larry reinforce as an adverse effect of metoprolol?

Hypotension

RN Michelle tells PN Larry that there is a dose of IV ciprofloxacin (Cipro) for another client in the medication room. Which of the following actions should Larry take?

Insert the indwelling urinary catheter

Larry recognizes that starting antibiotic therapy before obtaining blood specimens may result in which of the following?

Interfere with accurate identification of the pathogen

Larry should recognize that which of the following is the priority outcome when administering IV fluids to Mr. White?

Maintain circulations (?)

Larry receives a report on mr. white and recognizes that the report is incomplete. which of the following information should the nurse expect to receive when admitting this new client? (select all that apply.)

Medical history Current medications Current allergies Vital signs Mental status

Larry uses Mr. White's report of pain when choosing a medication to administer. Which of the following is the correct medication to be administered at this time?

Morphine sulfate

Larry is preparing to assess the severity Mr. White's pain. Which of the following pain assessment tools should Larry use to measure Mr. White's pain severity?

Numeric Rating Scale

Mr. White asks Larry why his blood pressure is low. Larry should tell Mr. White that which of the following is likely to contribute to his blood pressure being lower than normal?

Presence of infection

Larry reviews the orders for Mr. White. Which of the following is the priority action?

Request that the RN insert the IV catheter

Larry is caring for Mr. White during the administration of the IV bolus. Which of the following is the most important for Larry to monitor?

Respiratory status

Larry completes collecting data regarding Mr. White's pain. Which of the following actions should he take?

Review the medication orders for the client

Larry is reinforcing teaching about phenazopyridine (Pyridium) to Mr. White. Which of the following should he include when teaching the client about the side effects of phenazopyridine?

Urine turns a red/orange color

Larry has reviewed the admission orders for Mr. White. Which of the following orders is the priority at this time?

Withhold the morning dose of metoprolol (Lopressor) today.


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Chapter 19: Nursing Management of Pregnancy at Risk

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