COMPLETE SOLUTIONS FOR MEDICAL wr wr wr
SURGICAL PROCTORED ATI EXAM wr wr wr
An older adult is brought to an emergency department by a family member. Which of the followi
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ng assessment findings should cause the nurse to suspect that the client has hypertonic dehydrati
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on? - CORRECT ANSWER -Urine Specific gravity 1.045
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A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an increase in osm
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olarity, which is a manifestation of hypertonic dehydration.
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A nurse in a community clinic is caring for a client who reports an increase in the frequency of migrain
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e headaches. To help reduce the risk for migraine headaches, which of the following foods should the
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nurse recommend the client avoid? - CORRECT ANSWER -Aged cheese
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Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine headaches.
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A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversi
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on procedure to establish a ureterostomy. Which of the following statements should the nurse includ
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e in the teaching? - CORRECT ANSWER -"You should cut the opening of the skin barrier one-
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eight inch wider than the stoma."
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The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma to minimize irrita
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
tion of the skin from exposure to urine.
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A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nu
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rse should instruct the client that which of the following supplements can interfere with the effective
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ness of the medication? - CORRECT ANSWER -Calcium
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,Calcium limits the development of osteoporosis in clients who are postmenopausal and works as an a
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ntacid. Calcium supplements can interfere with the metabolism of a number of medications, including l
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evothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr of levothyroxine
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administration.
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A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast
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agent. The nurse should identify that which of the following findings requires further assessment? -
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CORRECT ANSWER -History of asthma
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A client who has a history of asthma has a greater risk of reacting to the contrast dye used during t
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he procedure. Other conditions that can result in a reaction to contrast media include allergies to f
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oods, such as shellfish, eggs, milk, and chocolate.
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A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findin
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gs should the nurse identify as a component of Cushing's triad? - CORRECT ANSWER -Bradycardia
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A client who has increased intracranial pressure from a traumatic brain injury can develop bradycardia
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, which is one component of Cushing's triad. The other components of Cushing's triad are severe hyp
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ertension and a widened pulse pressure. wr wr wr wr wr
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure inj
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ury. Which of the following actions should the nurse take? - CORRECT ANSWER -Use a 30-mL syringe
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The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
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gauge catheter to deliver the ideal pressure of 8 pounds per square inch (psi) when irrigating a w
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ound. To maintain healthy granulation tissue, the wound irrigation should be delivered at betwee
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n 4 and 15 psi.
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A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustaine
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d a rattlesnake bite to the lower leg. Which of the following prescriptions should the expect? -
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CORRECT ANSWER -Administer an opioid analgesic to the client.
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,The nurse should expect a prescription for an opioid analgesic to promote comfort following a rattlesn
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ake bite. wr
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse s
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hould postpone the testing and report to the provider which of the following findings? (Click on the "
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Exhibit" button for additional information about the client). - CORRECT ANSWER -Current medications
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The nurse should review the client's medication record and identify medications, including ACE inhibit
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ors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as prednisone, that can alter the
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allergy skin test results. These medications can diminish the client's reaction to the allergens. The nurs
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e should notify the provider and instruct the client to discontinue prednisone for 2 weeks before aller
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gy skin testing.
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A nurse is a caring for a client who is on bed rest and has a new prescription for enoxaparin subcutan
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eous. Which of the following actions should the nurse take? - CORRECT ANSWER -
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Inject the medication into the anterolateral abdominal wall.
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The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to enha
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
nce medication absorption and prevent hematoma formation.
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A nurse is caring for a client who has a stage III pressure injury. Which if the following findings contrib
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ute to delayed wound healing? - CORRECT ANSWER -Urine output 25 mL/hr
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Urinary output reflects fluid status. Inadequate urine output can indicate dehydration, which can delay wo
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und healing. wr
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client
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is to receive 2,000 kcal per day. The TPN solution has 500kcal/L. The IV pump should be set at how
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many mL/hr? (Rounding to the nearest whole number.) - CORRECT ANSWER -167 mL/hr
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, A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, whi
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ch of the following dietary alterations should the nurse recommend? - CORRECT ANSWER -
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Add cabbage to the diet.
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To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber, low
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
in fat, and low in refined carbohydrates. Brassica vegetables such as cabbage, cauliflower, and broccol
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i, are high in fiber.
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A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to her
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burn wounds. The nurse should evaluate the client for which of the following laboratory findings? -
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CORRECT ANSWER -Leukopenia
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Transient leukopenia is an adverse effect of silver sulfadiazine.
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A nurse is teaching a client with systemic erythematosus who has a new prescription for prednisone.
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The nurse should instruct the client to monitor for which of the following adverse effects of this med
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ication? - CORRECT ANSWER -Infection wr wr wr wr
The nurse should instruct the client to avoid contact with people who are ill and monitor for manifest
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ations of an infection such as a fever or a sore throat. Prednisone can suppress the client's immune res
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ponse and mask the manifestations of an infection.
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A nurse is providing preoperative teaching to a client who will undergo a total laryngectomy. Which of
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the following statements indicates that the client understands the impact of the surgery? -
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CORRECT ANSWER -"I understand that I will have a permanent tracheostomy after the surgery."
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With a partial laryngectomy, the tracheostomy is temporary. This client will have a total laryngectomy
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, so the tracheostomy will be permanent.
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A nurse is assessing a client who has systemic scleroderma. Which of the following findings should the
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nurse expect? - CORRECT ANSWER -Finger contractures
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SURGICAL PROCTORED ATI EXAM wr wr wr
An older adult is brought to an emergency department by a family member. Which of the followi
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ng assessment findings should cause the nurse to suspect that the client has hypertonic dehydrati
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
on? - CORRECT ANSWER -Urine Specific gravity 1.045
wr wr wr wr wr wr wr
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an increase in osm
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
olarity, which is a manifestation of hypertonic dehydration.
wr wr wr wr wr wr wr
A nurse in a community clinic is caring for a client who reports an increase in the frequency of migrain
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
e headaches. To help reduce the risk for migraine headaches, which of the following foods should the
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr w
nurse recommend the client avoid? - CORRECT ANSWER -Aged cheese
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Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine headaches.
wr wr wr wr wr wr wr wr wr wr wr wr wr
A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversi
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
on procedure to establish a ureterostomy. Which of the following statements should the nurse includ
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
e in the teaching? - CORRECT ANSWER -"You should cut the opening of the skin barrier one-
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
eight inch wider than the stoma."
wr wr wr wr wr
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma to minimize irrita
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
tion of the skin from exposure to urine.
wr wr wr wr wr wr wr
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nu
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
rse should instruct the client that which of the following supplements can interfere with the effective
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ness of the medication? - CORRECT ANSWER -Calcium
wr wr wr wr wr wr wr
,Calcium limits the development of osteoporosis in clients who are postmenopausal and works as an a
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ntacid. Calcium supplements can interfere with the metabolism of a number of medications, including l
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
evothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr of levothyroxine
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr w
administration.
r
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr w
agent. The nurse should identify that which of the following findings requires further assessment? -
r wr wr wr wr wr wr wr wr wr wr wr wr wr wr
CORRECT ANSWER -History of asthma
wr wr wr wr wr
A client who has a history of asthma has a greater risk of reacting to the contrast dye used during t
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
he procedure. Other conditions that can result in a reaction to contrast media include allergies to f
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
oods, such as shellfish, eggs, milk, and chocolate.
wr wr wr wr wr wr wr
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findin
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
gs should the nurse identify as a component of Cushing's triad? - CORRECT ANSWER -Bradycardia
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
A client who has increased intracranial pressure from a traumatic brain injury can develop bradycardia
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
, which is one component of Cushing's triad. The other components of Cushing's triad are severe hyp
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ertension and a widened pulse pressure. wr wr wr wr wr
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure inj
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ury. Which of the following actions should the nurse take? - CORRECT ANSWER -Use a 30-mL syringe
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
wr wr wr wr wr wr wr wr wr wr wr wr wr
gauge catheter to deliver the ideal pressure of 8 pounds per square inch (psi) when irrigating a w
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ound. To maintain healthy granulation tissue, the wound irrigation should be delivered at betwee
wr wr wr wr wr wr wr wr wr wr wr wr wr
n 4 and 15 psi.
wr wr wr wr
A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustaine
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
d a rattlesnake bite to the lower leg. Which of the following prescriptions should the expect? -
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
CORRECT ANSWER -Administer an opioid analgesic to the client.
wr wr wr wr wr wr wr wr wr
,The nurse should expect a prescription for an opioid analgesic to promote comfort following a rattlesn
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ake bite. wr
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse s
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
hould postpone the testing and report to the provider which of the following findings? (Click on the "
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
Exhibit" button for additional information about the client). - CORRECT ANSWER -Current medications
wr wr wr wr wr wr wr wr wr wr wr wr
The nurse should review the client's medication record and identify medications, including ACE inhibit
wr wr wr wr wr wr wr wr wr wr wr wr wr
ors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as prednisone, that can alter the
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
allergy skin test results. These medications can diminish the client's reaction to the allergens. The nurs
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
e should notify the provider and instruct the client to discontinue prednisone for 2 weeks before aller
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
gy skin testing.
wr wr
A nurse is a caring for a client who is on bed rest and has a new prescription for enoxaparin subcutan
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
eous. Which of the following actions should the nurse take? - CORRECT ANSWER -
wr wr wr wr wr wr wr wr wr wr wr wr wr
Inject the medication into the anterolateral abdominal wall.
wr wr wr wr wr wr wr
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to enha
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
nce medication absorption and prevent hematoma formation.
wr wr wr wr wr wr
A nurse is caring for a client who has a stage III pressure injury. Which if the following findings contrib
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ute to delayed wound healing? - CORRECT ANSWER -Urine output 25 mL/hr
wr wr wr wr wr wr wr wr wr wr wr
Urinary output reflects fluid status. Inadequate urine output can indicate dehydration, which can delay wo
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
und healing. wr
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
is to receive 2,000 kcal per day. The TPN solution has 500kcal/L. The IV pump should be set at how
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
many mL/hr? (Rounding to the nearest whole number.) - CORRECT ANSWER -167 mL/hr
wr wr wr wr wr wr wr wr wr wr wr wr
, A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, whi
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ch of the following dietary alterations should the nurse recommend? - CORRECT ANSWER -
wr wr wr wr wr wr wr wr wr wr wr wr wr
Add cabbage to the diet.
wr wr wr wr
To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber, low
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
in fat, and low in refined carbohydrates. Brassica vegetables such as cabbage, cauliflower, and broccol
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
i, are high in fiber.
wr wr wr wr
A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to her
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
burn wounds. The nurse should evaluate the client for which of the following laboratory findings? -
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
CORRECT ANSWER -Leukopenia
wr wr wr
Transient leukopenia is an adverse effect of silver sulfadiazine.
wr wr wr wr wr wr wr wr
A nurse is teaching a client with systemic erythematosus who has a new prescription for prednisone.
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
The nurse should instruct the client to monitor for which of the following adverse effects of this med
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ication? - CORRECT ANSWER -Infection wr wr wr wr
The nurse should instruct the client to avoid contact with people who are ill and monitor for manifest
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ations of an infection such as a fever or a sore throat. Prednisone can suppress the client's immune res
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
ponse and mask the manifestations of an infection.
wr wr wr wr wr wr wr
A nurse is providing preoperative teaching to a client who will undergo a total laryngectomy. Which of
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
the following statements indicates that the client understands the impact of the surgery? -
wr wr wr wr wr wr wr wr wr wr wr wr wr
CORRECT ANSWER -"I understand that I will have a permanent tracheostomy after the surgery."
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
With a partial laryngectomy, the tracheostomy is temporary. This client will have a total laryngectomy
wr wr wr wr wr wr wr wr wr wr wr wr wr wr
, so the tracheostomy will be permanent.
wr wr wr wr wr wr
A nurse is assessing a client who has systemic scleroderma. Which of the following findings should the
wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr wr
nurse expect? - CORRECT ANSWER -Finger contractures
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