ATI MED SURG REVIEW GRADED A+ 2023
1. A client who has a diagnosis of Clostridium difficile is placed on contact precautions. Which Leave a stethoscope
... [Show More] in the
of the following actions should the nurse take?
room for blood pressure monitoring.
2. A client who has emphysema is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first?
Instruct the client to allow the machine to breathe for him.
3. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric cerebrovascular accident (CVA). Which of the following neurologic deficits should the nurse expect to find when assessing the client? (Select all that apply.)
Visual spatial deficits Left hemianopsia One-sided neglect
4. A home health nurse is providing teaching to a client who has a stage I pressure ulcer on the greater trochanter of his left hip. Which of the following instructions should the nurse include in the teaching?
Change position every hour.
5. A nurse admits a client who has anorexia, low-grade fever, night sweats, and productive cough. Which of the following actions should the nurse take first?
Initiate airborne precautions.
6. A nurse in an emergency department is assessing a client who has a detached retina. Which of the following should the nurse expect the client to report?
"It's like a curtain closed over my eye."
7. A nurse in an emergency department is caring for a client who reports chest pain of 8 on a pain scale of 0 to 10. Which of the following actions should the nurse take first?
Administer morphine.
8. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad?
Bradycardia
9. A nurse in an ICU is planning care for a client who is in cardiogenic shock. The nurse should Dopamine prepare to administer which of the following medications to increase cardiac output?
10 A nurse in a provider's office is assessing a client who has hypertension and takes Report of a night cough
. propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? [Show Less]