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ATI CAPSTONE-MED SURG-ASSESSEMENT 2; complete assessment solutions

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ATI CAPSTONE-MED SURG-ASSESSEMENT 2; complete assessment solutions 1. a nurse is planning care for a client who has Meniere's disease and his experiencing episodes of vertical. which of Following intervention should the nurse include in the plan of care? a. Maintain strict bed rest.------pg 75 b. Restrict fluid intake to the morning hours. c. Administer aspirin. d. Provide a low-sodium diet. 2. a nurse is assessing a client of possible exposure of HIV . Which of the following findings should the nurse identify as an early manifestation of HIV infection? a. Stomatitis b. Fatigue c. Wasting syndrome d. Lipodystroph 3. Play nurse is teaching a client about using continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea . Which of the following information should the client include in the teaching? a. It delivers a preset amount of inspiratory pressure at the beginning of each breath---------------pg 119?????? b. it has continuous adjustment feature that changes the airway pressure throughout thecycle c. it delivers a preset amount of airway pressure throughout the breathing cycle d. it delivers positive pressure at the end of each breath 4. A nurse is teaching a client about fecal cult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching? a.

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ATI CAPSTONE-MED SURG-ASSESSEMENT
2
GREEN-------NEW QUESTIONS
YELLOW-----AGREED ANSWER
RED- ---DOUBLE CHECK

1. a nurse is planning care for a client who has Meniere's disease and his experiencing episodes
of vertical. which of Following intervention should the nurse include in the plan of care?
a. Maintain strict bed rest.------pg
75
b. Restrict fluid intake to the morning
hours. c. Administer aspirin.
d. Provide a low-sodium diet.

2. a nurse is assessing a client of possible exposure of HIV . Which of the following findings should
the nurse identify as an early manifestation of HIV infection?
a. Stomatitis
b Fatigu
. e
c. Wasting syndrome
d. Lipodystroph

3. Play nurse is teaching a client about using continuous positive airway pressure (CPAP) device
to treat obstructive sleep apnea . Which of the following information should the client include
in the teaching?
a. It delivers a preset amount of inspiratory pressure at the beginning of
each breath---------------pg 119??????
b. it has continuous adjustment feature that changes the airway pressure
throughout thecycle
c. it delivers a preset amount of airway pressure throughout the breathing
cycle d. it delivers positive pressure at the end of each breath

4. A nurse is teaching a client about fecal cult blood testing (FOBT) for the screening of
colorectal cancer. Which of the following statements should the nurse include in the
teaching?
a. "Your provider will use stool from your digital rectal examination to perform the test."
b. "Your provider will prescribe a stimulant laxative prior to the procedure to evacuate
the bowel."
c. "You should begin annual fecal occult blood testing for colorectal cancer screening at
40 years old."
d. "You should avoid taking corticosteroids prior to
testing."
5. A nurse is preparing a client for a colonoscopy. Which of the following medication should the
nurse anticipate the provider to prescribe as an anesthetic for the procedure?
a. Propofol-----------pg

, ATI CAPSTONE-MED SURG-ASSESSEMENT
2 303
b. Pancuronium
c. Promethazine
d. Pentoxifylline
6. A nurse is teaching a client who has hypertension about dietary modifications to help control
blood pressure. Which of the following food choices should the nurse recommend as a best
choice for the client to include in their diet?
a. 1 packet of reconstituted dry onion soup
b. 3 oz of lean cured ham
c. 3 oz of chicken
breast
d. ½ cup of canned baked beans

7. A nurse is caring for a client who has rheumatoid arthritis and has been taking Prednisone.
Which of the following finding should the nurse identify as an adverse effect of this medication?

a. Weight loss


b. hypoglycemia

c. hypertension

d. hyperkalemia

8. A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of
the following intervention should the nurse implement?

a. Place several pillows behind the client's head

b. place the client in a Sims position - per p. 83 of 2019 version, first intervention
to decrease ICP is to elevate head to at least 30o

c. keep the client's neck in a midline position

d. maintain flexion of the client's hips at a 90 degree angle

9. A home health nurse is providing teaching to the family of a client who has a seizure disorder.
Which of the following intervention should the nurse include in the teaching?

a. Keep a padded tongue blade near the bedside.

b. Place a pillow under the client's head while in bed during a seizure.

c. Administer diazepam orally at the onset of seizures.
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