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Exam (elaborations)

Exam (elaborations) NUR 1211 ATI MED SURG REVIEW LATEST EDITION

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Exam (elaborations) NUR 1211 ATI MED SURG REVIEW LATEST EDITION

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ATI MED
SURG
REVIEW
LATEST
EDITION

,Chapter1: Med Surg Ati Latest Edition
1. A nurse is reinforcing teaching with a client who has HIV and is being
discharged to home. Which of the following instructions should the nurse
1) Take temperature once a day.
2) Wash the armpits and genitals with a gentle cleanser daily.
3) Change the litter boxes while wearing gloves.
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
1) Provide humidified oxygen.
2) Perform chest physiotherapy prior to suctioning.
3) Prelubricate the suction catheter tip with sterile saline when suctioning the
airway.
4) Hyperventilate the client with 100% oxygen before
3. Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold feet.
Which of the following nursing actions should the nurse take to promote the
client's comfort?

1.Rub the client's feet briskyly for several minutes
2)obtain a pair of slipper socks for the client. .
3) Increase the client's oral fluid intake.
4. A nurse is caring for a client is who is 4 hr postoperative following a
transurethral resection of the prostate (TURP). Which of the following is the
priority finding for the nurse report to the provider?

,1) Emesis of 100 mL
2) Oral temperature of 37.5° C (99.5° F)
3) Thick, red-colored urine
4) Pain level of 4 on a 0 to 10 rating scale
5.A nurse is caring for a client who has a temperature of 39.7° C (103.5° F)
and has a prescription for a hypothermia blanket. The nurse should monitor the
1) Shivering
2) Infection
3) Burns
4) Hypervolemia
6. A nurse is reinforcing teaching about exercise with a client who has type 1
diabetes mellitus. Which of the following statements by the client indicates an
1) "I will carry a complex carbohydrate snack with me when I exercise."
2) "I should exercise first thing in the morning before eating breakfast."
3) "I should avoid injecting insulin into my thigh if I am going to go
4) "I will not exercise if my urine is positive for ketones."

7.A nurse notes a small section of bowel protruding from the abdominal
incision of a client who is postoperative. After calling for assistance, which of
1) Cover the client's wound with a moist, sterile dressing.

2) Have the client lie supine with knees flexed.

3) Check the client's vital signs.
4) Inform the client about the need to return to surgery.

, 8.A nurse is collecting data from a client who has alcohol use disorder and is
experiencing metabolic acidosis. Which of the following manifestations should
the nurse expect?

1) Cool, clammy skin.
2) Hyperventilation
3) Increased blood pressure
4) Bradycardia
9. A nurse is reinforcing discharge teaching with a client following a cataract
1) Avoid bending at the waist.
2) Remove the eye shield at bedtime.
3) Limit the use of laxatives if constipated.
10.A nurse is caring for a client who has heart failure and has been taking
digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which
2) Request a dietary consult.
3) Check the client's vital signs.
11.A nurse is caring for a client who is 3 days postoperative following a
cholecystectomy. The nurse suspects the client's wound is infected because the
drainage from the dressing is yellow and thick. Which of the following findings
1) Sanguineous
2) Serous
4) Purulent

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