ATI RN Adult Medical Surgical Online Practice 2019 B: 100% Verified Questions & Answers

A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following instructions should the nurse include? (Ans- 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? (Ans- 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? (Ans- 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? (Ans- 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? (Ans- 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? (Ans- 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? (Ans- 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? (Ans- 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? (Ans- 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? (Ans- 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? (Ans- Airborne