NGN ATI Adult Health Exam RN 2023 A+
1.
A nurse is monitoring a client who is taking spironolactone for the treatment of hypertension. Which findings
... [Show More] denote adverse effects of the medication? Select all that apply.
A.Constipation
B.Tall T waves Correct
C.Hyporeflexia
D.Shallow respirations
E.Prolonged PR interval Correct
F.Hyperactive bowel sounds Correct
manifestations include an irregular heart rate, decreased blood pressure, and ectopic heartbeats.
Muscle twitches occur in hyperkalemia. Hyperactive bowel sounds and diarrhea also occur in
hyperkalemia. Constipation, hyporeflexia, and shallow respirations are signs of hypokalemia.
Test-Taking Strategy: Knowledge of the subject, that spironolactone is a potassium-sparing
diuretic, will assist you in determining that hyperkalemia is an adverse effect of the medication.
Recalling the manifestations of hyperkalemia will direct you to the correct options. Also, note
that the incorrect options are comparable or alike in that they indicate a slowed body response
or function.
Review: the adverse effects of spironolactone and the manifestations of.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Adult Pharmacology
Giddens Concepts: Clinical Judgment, Fluid and Electrolytes
HESI Concepts: Clinical Decision Making-Clinical Judgment-Critical Thinking, Fluid &
Electrolyte
Reference: Hodgson, B., & Kizior, R. (2015). Saunders nursing drug handbook 2015. (pp.
1125-1127) St. Louis: Saunders. Awarded 100.0 points out of 100.0 possible points.
2.
A nurse is providing dietary instructions to a client with chronic obstructive pulmonary disease (COPD) who is experiencing a loss of appetite and complains of feeling “too full to eat.” The nurse realizes the instructions were effective if the client verbalizes making which
changes? Select all that apply.
A.Avoid drinking fluids before and during meals Correct
B.Eat a variety of dark-green vegetables, such as broccoli
C.Have snacks, such as crackers and cheese, between meals
D.Select foods that are easy to chew and are not gas forming Correct
E.Consume high-calorie drinks, such as milkshakes, between meals
inspiratory and expiratory capacity of the lungs. Instruct the client who complains of feeling too
full to eat, to avoid drinking fluids before and during the meal. Dry foods such as crackers
stimulate coughing; foods such as milk and chocolate may increase the thickness of saliva and
secretions. Cheese is constipating and should also be avoided by the client. The nurse should
also teach the client about foods that are easy to chew and do not encourage the formation of
gas; for this reason, broccoli, which is a gas-forming food, should be avoided.
Test-Taking Strategy: Use knowledge of the subject, dietary measures for a client with COPD
to assist with the process of elimination. Recalling that milk may increase the thickness of
saliva will assist you in eliminating the option that encourages the consumption of milkshakes.
Eliminate the option in which the consumption of broccoli is encouraged, because it is a gas-
forming food. To select from the remaining options, note the strategic words “too full to eat” in
the question and the option that encourages the client to avoid fluids before and during meals;
this will direct you to the correct answers.
Review: dietary measures for the client with COPD
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health/Respiratory
Giddens Concepts: Gas Exchange, Nutrition
HESI Concepts: Oxygenation-Gas Exchange, Metabolism
Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical
Mosby. [Show Less]