ATI RN Adult Medical Surgical Online Practice 2019 B RATED A+, Study Guides, Projects, Research of Nursing

Download ATI RN Adult Medical Surgical Online Practice 2019 B RATED A+ and more Study Guides, Projects, Research Nursing in PDF only on Docsity! ATI RN Adult Medical Surgical Online Practice 2019 B RATED A+ A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following instructions should the nurse include? Flex the foot every hour when awake. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Which of the following findings is an indication of lung re-expansion? Bubbling in the water seal chamber has ceased. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. Which of the following values should the nurse identify as a desired outcome for this therapy? INR 2.5 A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the greater trochanter of his left hip. Which of the following instructions should the nurse include in the teaching? Change position ever hour. A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse's priority to report to the provider? Restlessness A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first? Scan the bladder with a portable ultrasound. A nurse is planning a health promotional presentation for a group of African American clients at a community center. Which of the following disorders presents the greatest risk to this group of clients? Hypertension A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse that the client's condition is improving? Glucose 272 mg/dL A nurse is caring for a client following extubation of an endotracheal tube 10 min. ago. Which of the following findings should the nurse report to the provider immediately? Stridor A nurse is caring for a client who had a nephrostomy tube inserted 112 hr ago. Which of the following findings should the nurse report to the provider? The client reports back pain. A nurse is admitting a client who has active TB. Which of the following types of transmission precautions should the nurse initiate? Airborne Serum creatinine A nurse is preparing to administer phenytoin 600 mg PO daily to a client. he amount available is oral solution 125 mg/5 mL. How many mL should the nurse administer? 24 A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Which of the following statements should the nurse make? "I will refer you to community resources that can provide support." A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include in the plan? Encourage the client to take deep breaths after the procedure. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Which of the following statements by the client indicates an understanding of the teaching? "I will avoid direct exposure to the sun." A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Alternate the application of heat and cold to the affected joints. A nurse is assessing a client's hydration status. Which of the following findings indicates fluid volume overload? Distended neck veins A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Which of the following interventions should the nurse include in the plan of care? Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse should recognize that which of he following complications is associated with long-term mechanical ventilation? Stress ulcers A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? Low urine specific gravity A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which f the following findings should the nurse identify as a manifestation of this condition? Pain that increases with passive movement A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and notes clots in the client's indwelling urinary catheter and a decrease in urinary output. Which of the following actions should the nurse take? Irrigate the indwelling urinary catheter. A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? The client's heart rate increases. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Which of the following instructions should the nurse include? Numbness can occur along the inside of the affected arm. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Troponin I 8 ng/mL A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. Which of the following instructions should the nurse include in the plan of care? Use crutches with rubber tips. A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the nurse identify as the priority? Report of a sore throat A nurse is caring for a client who has homonymous hemianopsia as result of a stroke. To reduce the risk of falls when ambulating the nurse should provide which of the following instructions to the client? "Scan the environment by turning your head from side to side." A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results should the nurse expect? PaCO2 56 mm Hg We have an expert-written solution to this problem! A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? Hair loss on the lower legs A nurse is performing a preoperative assessment for a client. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Avocados A nurse is planning care for a client who is postoperative following laparotomy and has a closed-suction drain. which of the following actions should the nurse take to manage the drain? Compress the drain reservoir after emptying. A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I wish I could stop these treatments. I am ready to die." Which of the following statements should the nurse make? "Discontinuing with the treatments is your choice if it is your wish to do so." A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. The client is agitated and is attempting to remove their IV catheter. Which of the following actions should nurse take to avoid restraining the client? Keep the client occupied with a manual activity. A nurse is caring for a client who has breast cancer and tells the nurse that they would like to have acupuncture because it provides greater relief than pain medication. Which of the following statements should the nurse make? "I can speak with the provider about incorporating acupuncture into your treatment plan." A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? Warfarin A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication? WBC count 2,000/mm3 A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following actions is the nurse's priority? Check the client's neurologic status. A nurse is providing teaching to a client who has a new prescription for psyllium. Which of the following information should the nurse include in the teaching? Drink 240 mL (8 oz) of water after administration. A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Which of the following recommendations should the nurse plan to include? (Select all that apply.) - Following a smoke cessation program - Maintain an appropriate weight - Eat a low-fat diet We have an expert-written solution to this problem! A nurse is assessing a client who is at risk for the development of pernicious anemia from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious anemia? C (Glossitis) A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. The nurse should anticipate the surgical incision to be in which of the following locations? A (near the patient's throat) A nurse is providing discharge instructions to a client who has active TB. Which of the following information should the nurse include in the instructions? Sputum specimens are necessary ever 2 to 4 weeks until there are three negative cultures. A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first? Check for the type and number of units of blood to administer. A nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspenic, and has crackles noted to the lung bases. Which of the following actions should the nurse anticipate taking? Slow the infusion rate. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include? "You will need to stay still in the bed during each treatment session." A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the following statements should the nurse make? "Ginkgo biloba can cause an increased risk for bleeding." A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Identify the sequence of actions the nurse should take. 1. Administer oxygen via a nonrebreather mask. 2. Initiate IV therapy with a large-bore catheter. 3. Insert an NG tube. 4. Administer ranitidine A nurse is providing teaching to a client who has AIDS. Which of the following statements by the client indicates an understanding of the teaching? "I will take my temperature once a day." A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. Which of the following actions should the nurse take? (Select all that apply.) - Prepare to suction the client's airway - Loosen restrictive clothing on the client is correct A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Which of the following actions should the nurse take? Contact the provider to clarify the prescription. We have an expert-written solution to this problem! A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex. Which of the following actions should the nurse take? Document that depolarization has occurred,. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching? "My joints ache because I have Lyme disease." A nurse is providing teaching to a client who has a recent diagnosis of constipation- predominant irritable bowel syndrome. Which of the following instruction should the nurse include in the teaching? Consume at least 30 g of fiber daily.