ADULT HEALTH ATI QUESTIONS WITH COMPLETE SOLUTIONS

A nurse is providing teaching for a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching? increase intake of deep yellow and orange vegetables administer eye drops twice daily avoid bending at the waist wear an eye patch at night 1 of 177 Term A nurse is performing an otoscopic examination of a client. Which of the following is an unexpected finding? pearly, gray tympanic membrane malleus visible behind the TM presence of soft cerumen in the external canal fluid bubble seen behind the TM 2 of 177 Term A nurse in the emergency department is caring for a client who is having an acute asthma attack. which of the following assessments indicates that the respiratory status is declining? (select all that apply) a. SaO2 95% b. wheezing c. retraction of sternal muscles d. pink mucous membranes e. premature ventricular complexes (PVCs) b. wheezing c. retraction of sternal muscles e. premature ventricular complexes (PVCs) a. 1 slice cheddar cheese c. 3 oz Atlantic salmon d. 3 oz roasted chicken breast a. rigid abdomen b. tachycardia e. rebound tenderness a. identify an allergy to seafood b. withhold metformin for 24 hr c. administer an enema e. assess for asthma 3 of 177 Term A nurse is caring for an older adult client in a long-term care facility. The client has become weak and confused. He ate 40% of his breakfast and lunch. The client's temperature is 100.9, pulse 92/min, respirations 20/min, and blood pressure 108/60 mm Hg. He has lost 3/4 lb and reports dizziness when assisted to the bathroom. He also has a nonproductive cough with diminished breath sounds in the right lower lobe. Which of the following actions should the nurse take? initiate fluid restrictions to limit intake observe for signs of peripheral edema encourage the client to ambulate to promote oxygenation monitor for orthostatic hypotension 4 of 177 Term A nurse to presenting information to a group of clients about nutrition habits that prevent type 2. Which of the following should the nurse include in the information? (select all that apply) a. eat less meat and processed foods b. decrease intake of saturated fats c. increase daily fiber intake d. limit saturated fat intake to 15% of daily caloric intake e. include omega-3 fatty acids in the diet a. limit intake of food high in animal protein b. reduce sodium intake d. report burning with urination to the provider e. increase fluid intake to 3 L/day b. administer oxygen therapy c. perform a sputum culture a. administer antibiotics d. administer an antipyretic medication to promote client comfort a. provide a referral for nutrition counseling c. palpate the costovertebral angle d. monitor urinary output e. administer antibiotics a. eat less meat and processed foods b. decrease intake of saturated fats c. increase daily fiber intake e. include omega-3 fatty acids in the diet 5 of 177 Term A nurse is providing discharge instructions to a female client who has a prescription for phenytoin. Which of the following information should