ATI Capstone Adult Medical Surgical Assessment 2
Questions with Answers and Explanations Complete
Solutions, 100% Correct | New Update | |
Complete A+ Guide
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Question 1
Nurse Teaching Assistive Personnel about Alzheimer's Disease Care
Which intervention should the nurse include?
Answer: Provide supervision to prevent a client from becoming injured or lost
Explanation****: Clients with Alzheimer's disease often experience confusion, disorientation,
and wandering behaviors. Providing constant supervision is essential to prevent injury (such as
falls) and to keep the client from wandering away and becoming lost. Safety is the priority in
Alzheimer's care.
Question 2
Nurse Plan of Care for Client in Halo Traction
Which action should the nurse include in the plan of care?
Answer: Monitor the client's skin under the halo vest
Explanation****: Halo traction involves a vest that fits tightly around the client's torso. The
pressure from the vest can cause skin breakdown, pressure ulcers, and irritation. Regular
,monitoring of the skin under the vest is essential to prevent complications. The nurse should
assess for redness, breakdown, or infection.
https://www.stuvia.com/user/geniusexpert
Question 3
Nurse Discharge Teaching for COPD Client about Nutrition
Which dietary instruction should the nurse provide?
Answer: Consume high-calorie foods
Explanation****: Clients with COPD have increased energy expenditure due to the work of
breathing. They often experience weight loss and muscle wasting. A high-calorie diet helps
meet increased metabolic demands and maintain adequate nutrition and energy levels.
Question 4
Nurse Caring for Client with Tuberculosis
Which precautions should the nurse implement?
Answer: Airborne precautions
Explanation****: Tuberculosis (TB) is transmitted via airborne particles (droplet nuclei) that
can remain suspended in the air for long periods. Airborne precautions require a negative
pressure room, N95 respirator mask, and appropriate personal protective equipment. Standard
and contact precautions alone are insufficient for TB.
, https://www.stuvia.com/user/geniusexpert
Question 5
Nurse Preparing Client for Colonoscopy
Which medication is typically used for sedation during this procedure?
Answer: Propofol
Explanation****: Propofol is a short-acting sedative-hypnotic agent commonly used for
procedural sedation during colonoscopy. It provides rapid onset and quick recovery, making it
ideal for outpatient procedures. It is administered by anesthesia providers or trained
professionals.
Question 6
Nurse Teaching Risk Factors for Osteoporosis
Which is a risk factor for osteoporosis?
Answer: Early menopause
Explanation****: Early menopause (before age 45) leads to decreased estrogen levels earlier in
life. Estrogen protects bone density, so early loss of estrogen increases the risk of osteoporosis
and fractures. Other risk factors include advanced age, female gender, smoking, and
corticosteroid use.
Questions with Answers and Explanations Complete
Solutions, 100% Correct | New Update | |
Complete A+ Guide
https://www.stuvia.com/user/geniusexpert
Question 1
Nurse Teaching Assistive Personnel about Alzheimer's Disease Care
Which intervention should the nurse include?
Answer: Provide supervision to prevent a client from becoming injured or lost
Explanation****: Clients with Alzheimer's disease often experience confusion, disorientation,
and wandering behaviors. Providing constant supervision is essential to prevent injury (such as
falls) and to keep the client from wandering away and becoming lost. Safety is the priority in
Alzheimer's care.
Question 2
Nurse Plan of Care for Client in Halo Traction
Which action should the nurse include in the plan of care?
Answer: Monitor the client's skin under the halo vest
Explanation****: Halo traction involves a vest that fits tightly around the client's torso. The
pressure from the vest can cause skin breakdown, pressure ulcers, and irritation. Regular
,monitoring of the skin under the vest is essential to prevent complications. The nurse should
assess for redness, breakdown, or infection.
https://www.stuvia.com/user/geniusexpert
Question 3
Nurse Discharge Teaching for COPD Client about Nutrition
Which dietary instruction should the nurse provide?
Answer: Consume high-calorie foods
Explanation****: Clients with COPD have increased energy expenditure due to the work of
breathing. They often experience weight loss and muscle wasting. A high-calorie diet helps
meet increased metabolic demands and maintain adequate nutrition and energy levels.
Question 4
Nurse Caring for Client with Tuberculosis
Which precautions should the nurse implement?
Answer: Airborne precautions
Explanation****: Tuberculosis (TB) is transmitted via airborne particles (droplet nuclei) that
can remain suspended in the air for long periods. Airborne precautions require a negative
pressure room, N95 respirator mask, and appropriate personal protective equipment. Standard
and contact precautions alone are insufficient for TB.
, https://www.stuvia.com/user/geniusexpert
Question 5
Nurse Preparing Client for Colonoscopy
Which medication is typically used for sedation during this procedure?
Answer: Propofol
Explanation****: Propofol is a short-acting sedative-hypnotic agent commonly used for
procedural sedation during colonoscopy. It provides rapid onset and quick recovery, making it
ideal for outpatient procedures. It is administered by anesthesia providers or trained
professionals.
Question 6
Nurse Teaching Risk Factors for Osteoporosis
Which is a risk factor for osteoporosis?
Answer: Early menopause
Explanation****: Early menopause (before age 45) leads to decreased estrogen levels earlier in
life. Estrogen protects bone density, so early loss of estrogen increases the risk of osteoporosis
and fractures. Other risk factors include advanced age, female gender, smoking, and
corticosteroid use.
