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Exam (elaborations)

ATI RN MEDSURG A ONLINE PRACTICE -LATEST GUIDE

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.A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? Visual spatial deficits Left hemianopsia ( blindness in the left half of the visual field) One-sided neglect 2. A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should postpone the testing and report to the provider which of the following findings? Current medications 3. A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? A client who is receiving preoperative teaching for a right knee arthroplasty 4.A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse’s priority? Turn the client to the side 5.A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? Place a pillow between the client’s leg 6. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client’s bedside? Suction machine 7.A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? “You should cut the opening of the skin barrier one-eight inch wider than the stoma” 8.A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? Heart rate 110/min 9.A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer.Which of the following actions should the nurse include in the client’s plan of care? Wear a lead apron while providing care to the client 10.A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? Remind the client to scan their complete range of vision during ambulation 11.A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? Tell the client that it is possible to return to similar previous levels of activity 12.A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP) Sleepiness exhibited by the client Widening pulse pressure Decerebrated posturing 13.An older adult client is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? Urine specific gravity 1.045 ......................................................................................................CONTINUE

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Uploaded on
December 1, 2022
Number of pages
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Written in
2022/2023
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