Surg Ati Proctored Exam Test Updated

A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care? a. Turn and reposition the client every 4 hr b. Apply an occlusive dressing c. Support bony prominences with pillows d. Massage the reddened areas three times a day {Ans: c. Support bony prominences with pillows}A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV pump to administer? Round to near whole number {Ans: 33 gtt/min}A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? a. Flushed skin b. Frothy sputum/Hacking cough c. Jugular vein distention d. Bradycardia {Ans: b. Frothy sputum/Hacking cough}A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Hypothermia b. Urine specific gravity 1.001 (<1.005) c. Elevated blood pressure d. BUN 15 mg/dl {Ans: b.