ATI RN Adult Medical Surgical Online Practice 2019 B
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of
... [Show More] the following instructions should the nurse include? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER Airborne
A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Which of the following interventions should the nurse include in the plan of care? - CORRECT ANSWER Keep a lead-lined container in the client's room.
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings is the nurse's priority? - CORRECT ANSWER Temperature 38.9 C
A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Which of the following statements by the client indicates understanding of the teaching? - CORRECT ANSWER "I will no longer floss my teeth after brushing my teeth."
A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER "Increase fiber intake to avoid constipation."
A nurse is providing education to a client who is at risk for osteoporosis. Which of the following instructions should the nurse include? - CORRECT ANSWER Walk for 30 min four times per week.
A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. For which of the following? - CORRECT ANSWER - Calf pain
- Numbness in the arm
- Intense headache
A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The nurse should identify the need to revise the plan for which of the following clients? - CORRECT ANSWER A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect? - CORRECT ANSWER Constipation
A nurse is caring for a client who has cervical spinal cord injury sustained 1 month ago. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? - CORRECT ANSWER Heart rate 52/min
A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take? - CORRECT ANSWER Place a pressure bag around the flush solutions
A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER "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? - CORRECT ANSWER Encourage the client to take deep breaths after the procedure. [Show Less]