ATI PN Medical Surgical Practice 2020

PN Medical Surgical Practice 2020 A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the nurse recommend for this age group? - ANSWER Herpes zoster Rationale: The nurse should recommend the herpes zoster vaccine for adults who are 60 years of age and older. -------------- The nurse should recommend the meningococcal vaccine to college students and military recruits who are living in shared housing. The nurse should recommend the HPV vaccine for clients who are 9 to 26 years of age. The nurse should recommend the MMR vaccine to clients who are 62 years of age. A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedures? - ANSWER Creatinine 1.9 mg/dL Rationale: Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the nurse should report the finding to the provider before the client has a CT scan with an IV contrast agent. This finding places the client at risk for developing contrast-induced nephropathy. --------------------- Expected ranges: Calcium (ca) 9 - 10.5 mg/dL Sodium (Na) 136 - 145 mEq/L Potassium (K) 3.5 - 5 mEq/L A nurse is reinforcing teaching about home care with a client who had knee arthroplasty. Which of the following factors should the nurse identify as an indication that a barrier to learning might be present? - ANSWER The client stops the nurse and asks for pain medication Rationale: The nurse should identify that a client who is in pain will not be able to concentrate, which can interfere with their ability to learn.