Ati Adult Medical Surgical 2024 Final Exam

Fluid imbalances: Assessment findings {Ans: Hypo: Increased Hct Increased urine specific gravity increased serum sodium Hyper: Decreased Hct Normal sodium decreased electrolytes, BUN and creatinine Respiratory alkalosis}A nurse is performing a dressing change for a client who is recovering from a hemicolectomy when removing the dressing with the nurse notes that a large part of the bowel is protruding through the abdomen which of the following actions should the nurse take first {Ans: Call for help because evidence based practice indicates that the nurse should first stay with the client and call for assistance the client will require emergency surgery and is at risk for shock therefore the nurse should attain immediate assistance}A client questions the nurse concerning the usual course of multiple sclerosis (MS). Which of the following is an appropriate response by the nurse? "Each client is different; we cannot predict what will happen." "I can see that you are worried, but it's too soon to predict what will happen." "Acute episodes are usually followed by remissions, which may last varying lengths of time." "It's too early to think about the future; let's focus on the present and take one day at a time." {Ans: