ATI Med - Surg part A (2019) – Chamberlain College of Nursing

ATI Med - Surg part A (2019) – Chamberlain College of Nursing MED-SURG PART A 1. A nurse is reinforcing discharge teaching about woundcare with a family member of a client who is postoperative. Which of the following should the nurse include in the teaching? a) Administer an analgesic following wound care. (The nurse should remind the family member to administer ananalgesic prior to wound care to prevent discomfort.) b) Irrigate the wound with povidone iodine. (The nurse should remind the family member to irrigate the wound with 0.9% sodium chloride.) c) Cleanse the wound with a cotton-tipped applicator. (The nurse should remind the family member to avoid using a cotton- tipped applicator to cleanse the wound because the fibers can become embedded in the wound, cause infection, and delay wound healing.) d) Report purulent drainage to the provider. (The nurse should remind the family member to report signs of infection, including purulent drainage.)2. A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client, which of the followingfindings should the nurse expect? a) Flaccid neck (The nurse should recognize that nuchal rigidity, rather than a flaccid neck, is a manifestation of meningitis.) b) Stooped posture with shuffling gait (The nurse shouldrecognize that a stooped posture with shuffling gait is a manifestation of Parkinson's disease, not a manifestation of meningitis.) c) Red macular rash (The nurse should expect to find a red macular rash, sometimes called a petechial rash, which is a manifestation of meningococcal meningitis.) d) Masklike facial expression (The nurse should recognize that a masklike expression is a manifestation of Parkinson's disease, not a manifestation of meningitis.) 3. A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which of thefollowing interventions should the nurse include to prevent bone loss? a) Increase fluid intake. (Fluid intake is beneficial for general health and wellness, and it helps to treat some disorders. Caffeine and alcohol intake can increase the client's risk of developing osteoporosis. However, fluid intake does notprevent bone loss.) b) Encourage range-of-motion exercises. (Range-of-motion exercises are beneficial for general health and wellness, and they help to maintain flexibility and prevent contractures. However, range-of-motion exercises do not prevent bone loss.)