ATI Med-Surg Test Banks
1. A nurse is reinforcing teaching with a client who has HIV and is being discharged
to home. Which of the following instruction... [Show More] s should the nurse include in the
1) Take temperature once a day.
The nurse should reinforce to the client to take his temperature once a daily to identify
if a temperature is present due to the client’s altered immune system.
2) Wash the armpits and genitals with a gentle cleanser daily.
The nurse should instruct the client to use an antimicrobial cleanser to wash his armpits
and genitals twice daily.
3) Change the litter boxes while wearing gloves.
The client should avoid changing litter boxes. Litter boxes carry toxoplasmosis which
can be life threatening to a client who has HIV.
4) Wash dishes in warm water.
The nurse should instruct the client to wash dishes in hot soapy water to destroy the
2. A nurse is caring for a client who is postoperative following a tracheostomy, and
has copious and tenacious secretions. Which of the following is an acceptable
method for the nurse to use to thin this client's secretions?
1) Provide humidified oxygen.
Increasing fluid intake as tolerated and providing adequate humidification can help thin
2) Perform chest physiotherapy prior to suctioning.
Performing chest physiotherapy mobilizes secretions but does not thin them.
3) Prelubricate the suction catheter tip with sterile saline when suctioning the
Prelubricating the suction catheter tip with sterile saline helps to ease the insertion of
the catheter, producing less trauma. However, it has no effect on the tenacity of the
4) Hyperventilate the client with 100% oxygen before suctioning the airwa [Show Less]