2023 ATI med surg proctored exam latest update graded A+
A nurse is planning care for a client who has a full-thickness burns on the lower extr... [Show More] emities. Which of the following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites - ANSWER-d) apply new gloves when alternating between wound care sites
A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer to try vitamins and minerals instead of chemotherapy" which of the following responses should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy - ANSWER-d) tell me what you know about chemotherapy
A nurse is planning to teach a client whose provider has prescribed a low purine diet. The nurse should plan to instruct the client that he can include which of the following Foods in his diet (select all that apply)
e) scallops - ANSWER-b) Nuts
Nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a paint scale of 0 to 10. Which of the following interventions should the nurse take?
a) Place pillowsl under the clients knee
b) gently massage the area around the clients incision
c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee - ANSWER-c) apply an ice pack to the clients knee
A nurse is caring for a client who has lower extremity fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change? a) I will need to have my partner take over shopping for groceries and cooking the meals for us
b) Its going to be difficult to tell my parents I can't take them to their appointments anymore
c) I feel bad that I have to ask my partner to keep the house clean
d) These crutches will make it impossible to care for my child - ANSWER-a) I will need to have my partner take over shopping for groceries and cooking the meals for us
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?
a) adhesive tape
d) povidone iodine - ANSWER-b) Latex
A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to First?
a) A client who has chronic obstructive pulmonary disease in oxygen saturation of 89%
b) a client who has left-sided paralysis and slurred speech from a prior stroke
c) a client who has thrombocytopenia and reports a nosebleed
d) a client who has multiple sclerosis and reports Ataxia and vertigo - ANSWER-c) a client who has thrombocytopenia and reports a nosebleed
A nurse is monitoring a client who is receiving two units packed RBC's. Which of the following manifestation indicates a hemolytic transfusion reaction?
a) back pain
d) bradycardia - ANSWER-a) back pain
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instruction should the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap and hot water - ANSWER-c) where cotton rather than nylon socks
A nurse is providing teaching to a client who has a deep vein thrombosis (DVT) . Which of the following findings should the nurse identify as a risk factor for the development of the DVTs?
a) NSAID use
c) oral contraceptive use
d) cirrhosis - ANSWER-c) oral contraceptive use
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the end of the shift
c) Apply a second pair of gloves before touching the client's implant if it dislodges d) Limit family member visits to 30 min per day - ANSWER-d) Limit family member visits to 30 min per day
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
a) Generalized abdominal pain b) Cloudy effluent
c) Increased heart rate
d) Fever - ANSWER-d) Fever
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications?
d) Diphenhydramine - ANSWER-c) Furosemide
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?
a) Provide ketorolac for abdominal pain
b) Administer nitroprusside IV based on the client's weight
c) Insert a large bore nasogastric tube
d) Ensure that the client has a 22- gauge iv line in place - ANSWER-c) Insert a large bore nasogastric tube
A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3. Which of the following actions should the nurse take?
a) Instruct client to avoid eating raw fruit
b) Move the client to a negative pressure room
c) Use contact isolation while providing care
d) Apply pressure to venipuncture sites for 10 min - ANSWER-a) Instruct client to avoid eating raw fruit
A nurse is caring for a patient who has hypotension, cool and clammy skin, tachycardia and tachypnea. Which of the following positions should the nurse place the client?
a) Reverse Trendelenburg [Show Less]