ATI RN MEDICAL SURGICAL PROCTORED EXAMS 25 LATEST MULTIPLE VERSIONS EXAMS GRADE A+ Medical Surgical ATI Lyme Disease A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Understanding of the patient teaching. ANS: My j

ATI RN MEDICAL SURGICAL PROCTORED EXAMS 25 LATEST MULTIPLE VERSIONS EXAMS GRADE A+ Medical Surgical ATI Lyme Disease A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Understanding of the patient teaching. ANS: My joints ache because I have Lyme disease. Chronic complications memory problem and fatigue Musculoskeletal: Osteoporosis/Osteomyelitis A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings is a manifestation of this condition? ANS: Pain that increases with passive movement. Other s/s diminished pulse or pulselessness and capillary refill greater than 2 seconds in the affected extremity. Warmth indicates infection. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following instructions should the nurse include? Flex the foot every hour when awake. Avoid placing pillows under the knee. Elevate the leg when sitting in a chair to reduce edema and pain. Keep the operative leg in a neutral position when resting in bed Teaching external fixation device for fracture of lower extremity: use crutches with rubber tip. Casts/splints/boots applied. Continuous use for 4-6 weeks. Teach wound and pin care. Only provider can adjust. Post-op open reduction internal fixation of the ankle. What assessment report: extremity cool on palpation. Other findings to report: pallor, cool temp, paresthesia A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Alternate application of heat and cold to the affected joints. Diet high in nutrients, such as protein, vitamins, and iron, to promote tissue repair. Elevation of the affected extremities does not relieve the painful inflammation caused by rheumatoid arthritis. Downloaded by: NURSEDENIM | Distribution of this document is illegal Elevation of the extremities can assist with managing the pain of a client who has peripheral vascular disease. Regular exercise is important to prevent stiffness. Caring for a client with hx of a compound fracture, 3 wks ago. Unexpected finding showing osteomyelitis? ANS: Sedimentation rate. An increased sedimentation rate occurs when a client has any type of inflammatory process, such as osteomyelitis. A nurse is teaching a client about osteoporosis prevention. The nurse should instruct the client which of the following medications can increase their risk of developing osteoporosis? ANS: Prednisone. The nurse should instruct the client that prednisone can increase the risk for developing osteoporosis due to suppression of bone formation, and an increase in bone resorption by osteoclasts. Prednisone can also reduce intestinal absorption of calcium. Conjugated estrogen reduces risk. Colchicine can cause aplastic anemia. A nurse is providing education to a client who is at risk for osteoporosis. Which of the following instructions should the nurse include? Walk for 30 mins four times per week. Other teaching: Glucosamine for pain, avoid exercises that cause jarring motions, such as jogging, take over-the-counter calcium supplements. Procedures Suctioning client tracheostomy tube. Signs of hypoxia: The client’s heart rate increases. Coughing is expected. Late signs are diaphoresis and a decrease in blood pressure and will not be seen now. An increase in blood pressure is an early sign. A nurse is caring for a client who has an arterial line. Nursing action to take? ANS: Place a pressure bag around the flush solution. Arterial line used for ABG samples and hemodynamic monitoring. Supine, HOB 60 degrees.