ATI MEDSURG 2 NUR 265/
DETAILED ANSWER KEY NEURO-
SHOCK & BURNS PRACTICE
A nurse is caring for a client who is 24 hours postop
following a total hip arthroplasty. Which of the
following action should the nurse take? -
<<<ANSWER>>>Maintain abduction of the
affected extremity
A nurse is providing teaching to a client who is
scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the
teaching? -<<<ANSWER>>>"You will not be able
to eat or drink after the procedure until you are able
to cough."
- A client who had a bronchoscopy received a local
anesthetic that can suppress the cough reflex. The
,cough reflex protects the client from aspirating
fluids or food. Therefore, the client should not eat or
drink until the cough reflex returns.
A nurse is assessing a clients understanding of a
surgical procedure prior to witnessing their signature
on the informed consent form. The nurse determines
that the client does not understand what the
procedure will involve. Which of the following
action should the nurse take? -
<<<ANSWER>>>Contact the provider who will be
performing the procedure
A nurse is providing discharge teaching to a client
who has COPD. Which of the following instruction
should the nurse include in the teaching? -
<<<ANSWER>>>Consume a diet that is high in
calories
A nurse is providing teaching about dietary options
for a client who has cholithiasis which of the
following statements should the nurse include in the
teaching -<<<ANSWER>>>Select desserts, such as
angel food cake
, A nurse is monitoring a client who has a traumatic
brain injury, which of the following findings should
the nurse identify as a manifestation of Cushing's
triad -<<<ANSWER>>>Increase in blood pressure
from 130/80 to 180/100
A nurse is teaching a client who has a new diagnosis
of type one diabetes mellitus, which of the following
statement by the client indicates an understanding of
the teaching -<<<ANSWER>>>I am aware that my
diabetes is caused by an auto immune disorder
A nurse is caring for a client who has a small bowel
obstruction and an NG tube in place which of the
following action should the nurse take -
<<<ANSWER>>>Maintain low intermittent suction
A nurse is assessing a client who has a chest tube
connected to a closed water seal drainage system
which of the following findings should the nurse
report to the provider -
<<<ANSWER>>>CONSTANT BUBBLING IN
THE WATER SEAL CHAMBER.
DETAILED ANSWER KEY NEURO-
SHOCK & BURNS PRACTICE
A nurse is caring for a client who is 24 hours postop
following a total hip arthroplasty. Which of the
following action should the nurse take? -
<<<ANSWER>>>Maintain abduction of the
affected extremity
A nurse is providing teaching to a client who is
scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the
teaching? -<<<ANSWER>>>"You will not be able
to eat or drink after the procedure until you are able
to cough."
- A client who had a bronchoscopy received a local
anesthetic that can suppress the cough reflex. The
,cough reflex protects the client from aspirating
fluids or food. Therefore, the client should not eat or
drink until the cough reflex returns.
A nurse is assessing a clients understanding of a
surgical procedure prior to witnessing their signature
on the informed consent form. The nurse determines
that the client does not understand what the
procedure will involve. Which of the following
action should the nurse take? -
<<<ANSWER>>>Contact the provider who will be
performing the procedure
A nurse is providing discharge teaching to a client
who has COPD. Which of the following instruction
should the nurse include in the teaching? -
<<<ANSWER>>>Consume a diet that is high in
calories
A nurse is providing teaching about dietary options
for a client who has cholithiasis which of the
following statements should the nurse include in the
teaching -<<<ANSWER>>>Select desserts, such as
angel food cake
, A nurse is monitoring a client who has a traumatic
brain injury, which of the following findings should
the nurse identify as a manifestation of Cushing's
triad -<<<ANSWER>>>Increase in blood pressure
from 130/80 to 180/100
A nurse is teaching a client who has a new diagnosis
of type one diabetes mellitus, which of the following
statement by the client indicates an understanding of
the teaching -<<<ANSWER>>>I am aware that my
diabetes is caused by an auto immune disorder
A nurse is caring for a client who has a small bowel
obstruction and an NG tube in place which of the
following action should the nurse take -
<<<ANSWER>>>Maintain low intermittent suction
A nurse is assessing a client who has a chest tube
connected to a closed water seal drainage system
which of the following findings should the nurse
report to the provider -
<<<ANSWER>>>CONSTANT BUBBLING IN
THE WATER SEAL CHAMBER.
