NURS 5603 ATI RN Adult MedSurg Online Practice B|SLU 2021

NURS 5603 ATI RN Adult MedSurg Online Practice B A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Which of the following statements by the client reflects an understanding of the teaching? a) "This measures how much blood my heart is pumping." b) "This identifies if I have a defective heart valve." c) "This identifies if the pacemaker cells of my heart are working properly." d) "This measures the blood circulating to my heart muscle." 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? a) Document the client's intake and output. b) Scan the bladder with a portable ultrasound. c) Pour warm water over the client's perineum. d) Perform a straight catheterization. A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? a) The client starts to cough b) The client's heart rate increases. c) The client is diaphoretic. d) The client's blood pressure decreases. A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of the following information should the nurse include in the instructions? a) Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. b) The contagious period generally lasts for 6 to 8 weeks after the initiation of medication therapy. c) Family members should follow airborne precautions at home. d) A follow-up tuberculosis skin test is necessary in 2 months. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? a) Heart rate 110/min b) Blood pressure 160/70 mm Hg c) Respiratory rate 14/min d) Temperature 38.4° C (101.1° F) A nurse is caring for a client who has a positive culture for methicillin- resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take? a) Obtain a sputum specimen to determine if there is colonization. b) Bathe the client using chlorhexidine solution. c) Place the client in droplet isolation. d) Restrict visits from the client's friends and family. A nurse is assessing a client's hydration status. Which of the following findings indicates fluid volume overload? a) Warm, moist skin b) Distended neck veins c) Dark amber, odiferous urine d) Orthostatic hypotension