ATI MEDSURGE PROCTORED EXAM LATEST ALREADY GRADED A+ . A home health nurse is teaching an older adult client who just had cataract surgery. Which of the following instructions should the nurse include? - answers -Keep your head up and straight .A nurse is teaching a client who has a history of ulcerative col itis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? - answers -Chronic blood loss A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication? - answers -Antiplatelet aggregate A home health nurse is making a home visit to a client who takes a daily diuretic for h eart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic - answers -Fatigue A nurse caring for a client who is vomiting. Which of the following actions should the nurse take first? - answers -Prevent the client from aspirating A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and has a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider? - answers -0.9% sodium chloride IV bolus A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the clients pain and anxiety? - answers -
Morphine A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take? - answers -Disinfect equipme nt in the client's room daily A nurse is assessing a client who has developed atelectasis postoperatively. Which of the following findings should the nurse expect? - answers -Increasing dyspnea A nurse is assessing a client who has type 1 diabetes mellitu s and finds the client lying in bed, sweating and reporting feeling anxious. Which of the following complications should the nurse suspect? - answers -Hypoglycemia A nurse is assessing a clients wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following? - answers -Serosanguinous A nurse is assessing a. female client who is at risk for developing type 2 diabetes mellitus. The nurse should identify that which of the following manifestations increases the clients risk for developing type 2 diabetes? - answers -Blood pressure 132/98 mm Hg A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nu rse identify that the client exhibits Babinski sign? - answers -Dorsiflexion of the great toe A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infections? - answers -Check the catheter tubing for kinks or twisting A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take? - answers -Obtain a 12 -lead ECG A nurse is caring for a client who has peptic ulcer disease. The nurse should mon itor the client for which of the following findings as an indication of gastrointestinal perforation? - answers -
Sudden abdominal pain A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the clients morning blood glucose leve l as 210 mg/dL instead of 120mg/dL and administered the insulin dose appropriate for a reading over 300 mg/dL before the clients breakfast. Which of the following actions is the nurse's priority? - answers -Monitor the client for hypoglycemia A nurse is ca ring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities Which of the following actions should the nurse take? - answers -Verify the most recent calcium level A nurse is caring for a c lient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel through an opening in the surgical incision. Which of the following action should the nurse take? - answers -Apply moistened sterile gauze to the site A nurse is ca ring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for client? WBC: 1,400/mm RBC: 4.3 x 10/L Hgb: 12.1g/dL Hct: 36.5%
Morphine A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take? - answers -Disinfect equipme nt in the client's room daily A nurse is assessing a client who has developed atelectasis postoperatively. Which of the following findings should the nurse expect? - answers -Increasing dyspnea A nurse is assessing a client who has type 1 diabetes mellitu s and finds the client lying in bed, sweating and reporting feeling anxious. Which of the following complications should the nurse suspect? - answers -Hypoglycemia A nurse is assessing a clients wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following? - answers -Serosanguinous A nurse is assessing a. female client who is at risk for developing type 2 diabetes mellitus. The nurse should identify that which of the following manifestations increases the clients risk for developing type 2 diabetes? - answers -Blood pressure 132/98 mm Hg A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nu rse identify that the client exhibits Babinski sign? - answers -Dorsiflexion of the great toe A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infections? - answers -Check the catheter tubing for kinks or twisting A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take? - answers -Obtain a 12 -lead ECG A nurse is caring for a client who has peptic ulcer disease. The nurse should mon itor the client for which of the following findings as an indication of gastrointestinal perforation? - answers -
Sudden abdominal pain A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the clients morning blood glucose leve l as 210 mg/dL instead of 120mg/dL and administered the insulin dose appropriate for a reading over 300 mg/dL before the clients breakfast. Which of the following actions is the nurse's priority? - answers -Monitor the client for hypoglycemia A nurse is ca ring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities Which of the following actions should the nurse take? - answers -Verify the most recent calcium level A nurse is caring for a c lient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel through an opening in the surgical incision. Which of the following action should the nurse take? - answers -Apply moistened sterile gauze to the site A nurse is ca ring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for client? WBC: 1,400/mm RBC: 4.3 x 10/L Hgb: 12.1g/dL Hct: 36.5%
