which of the following clients should the nurse plan to assess first? a. A client who had a hip arthroplasty reports pain and erythema in his calf b. A client who had a barium enema 2 days ago and reports constipation c. A client who has anorexia and peripheral edema d. A client who had Addisons disease with a blood glucose level of 75 mg/dL (low sugar level expected for Addisons) Rationale: Clinical Manifestation of Postthrombotic Syndrome

specially seen after surgery such as Arthroplasty. 123. A nurse is assessing a client who is prescribed valproic acid. Which of the following laboratory tests should the nurse monitor? a. Arterial blood gas b. Serum creatinine c. Serum potassium D. Liver function test Rationale: Valproic Acid risk for Hepatotoxicity on Practice Q 124. A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the nurse perform first? a. Replace the NG tube B. Evaluate functioning of the suction device c. Provide oral hygiene care d. Administer an antiemetic medication Rationale: Page 302 of Med/Surg book. Assess and maintain function of NG tube 125. A nurse in a clinic is reviewing the health history of a client during her first prenatal visit. Which of the following findings indicates a risk for diabetes mellitus? a. Delivery of a low birth-weight infant b. Previous miscarriage C. BMI of 28 d. 1-hr oral glucose tolerance test of 132 mg/dL (140 mg/dL is considered DM per OB ATI Book) Rationale: Page 527 of Med/Surg ATI Book. Risk factor of DM is Obesity. 126. A nurse is preparing to administer medications to a group of clients using a portable medication cart. Which of the following actions should the nurse take? a. Lock the medication cart prior to entering each clients room b. Place controlled substances in the clients drawers of the medication cart before leaving the medication room (they can take it from the drawer) c. Prepare each clients medications and place in client drawers prior to beginning medication administration d. Contact the pharmacy to restock the medication cart when the cart if empty Rationale: To prevent loss of medication patient might take it if they have access to it. 127. A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The clients contractions are occurring every 45 seconds with a 90 second duration and the fetal heart rate is 170 to 180/min. Which of the following actions should the nurse take? a. Discontinue the oxytocin infusion b. Increase the oxytocin infusion c. Maintain the oxytocin infusion d. Decrease the oxytocin infusion Rationale: Discontinue if uterine hyper stimulation occurs with contraction frequency more often than every 2 min

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