MED Surg ATI EXAM PROCTORED EXAM 2O21 /ATI MED SURG EXAM 2021

MED Surg ATI EXAM PROCTORED EXAM 2O21 /ATI MED SURG EXAM 2021 A nurse is caring for a client who has nephrotic syndrome and has been taking prednisone for 3 days. which of the following findings should the nurse report to the provider as an adverse effect of prednisone? A: sore throat Glucocorticoids depress the immune system and increase the client's risk for infection. The nurse should recognize a sore throat as an indication of infection and report this finding to the provider. A nurse is planning education about cyclosporine for a client who had a kidney transplant 2 days ago. which of the following statements should the nurse plan to include? A; "you will need to continue taking this medication to protect your new kidneys" The client must take cyclosporine daily for the life of the transplanted organ. A nurse is assessing a client who has chronic kidney disease and has completed the third peritoneal dialysis (PD) treatment. which of the following findings should the nurse report to the provider? A: cloudy dialysate effluent Cloudy or opaque drainage is an early manifestation of peritonitis. The nurse should notify the provider immediately because infection can be a life-threatening complication. A nurse is reviewing the medical history of a client who has end-stage kidney disease. the nurse should identify that which of the following factors in the client's history is a contraindication for receiving hemodialysis. A: history of hemophilia The nurse should identify that a history of a major bleeding disorder is a contraindication for hemodialysis. A client who has hemophilia bleeds excessively following minor breaks in the skin and is at high risk for extreme blood loss during hemodialysis treatment. A nurse is planning care for a client who has chronic kidney disease and a potassium level of 7.3 mEq/L. which of the following interventions should the nurse plan to take? A: infuse regular insulin in dextrose 10% in water The nurses should infuse regular insulin in dextrose 10% to 20% in water to a client who has hyperkalemia. The administration of insulin will drive the potassium from the extracellular fluid into the intracellular fluid to decrease the serum potassium level. The dextrose in the solution will counter the insulin to prevent hypoglycemia from occurring. A nurse is obtaining a urine specimen for culture and sensitivity for a client who has manifestations of a urinary tract infection. which of the following actions should the nurse take? A: instruct the client to start urinating then pass the container into the stream The nurse should instruct the client to start urinating, then pass the container into the stream, and collect 30 to 60 mL of urine in the container. A nurse is providing instructions for reducing the dietary intake of potassium to a client who has chronic kidney disease. which of the following client food selections indicates an understanding of the teaching? A: one large raw apple Of these options, one large apple is the lowest in potassium, containing 239 mg per serving. The nurse should instruct the client that there are foods from each of the food groups that are low in potassium and can be consumed, such as bread, eggs, butter, and green beans. Learning how to read nutrition labels will assist the client in making choices that meet dietary restrictions. A nurse is providing discharge teaching to a client who has chronic kidney disease (CKD). which of the following statements by the client indicates an understanding of the teaching? A: "i will decrease my intake of foods that are high in phosphorus." A client who has CKD should limit their intake of foods that are high in phosphorus to prevent bone damage. A nurse is teaching a client who has urge urinary incontinence about bladder retraining. which of the following instructions should the nurse include? A: "increase the intervals between urination by 15 minutes per day when able to remain continent" The nurse should instruct the client to increase the length of time between urination by 15 min per day when able to remain continent. The goal is to have 3- to 4-hr intervals between urination. A nurse is teaching a client who has a diagnosis of acute pyelonephritis. which of the following instructions should the nurse include in the teaching? A: avoid the use of NSAIDs for pain The nurse should instruct the client to avoid the use of NSAIDs for pain because they can further damage the kidney, causing papillary necrosis and reflux.