ATI Med-Surg proctored Exam review 2023

ATI Med-Surg proctored Exam review 2023 A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthroplasty. Which of the following interventions should the nurse include in the plan? - Maintain abduction of the right hip. A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions should the nurse take first? - Feel for a carotid pulse . A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make? - "Bypass surgery must be very frightening for you." A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take? - Tell the client to remain in the bathroom after to ileting and obtain a wheelchair. A nurse is assisting with the care of a client who is postoperative and has a closed -wound drainage system in place. Which of the following actions should the nurse take? - Fully recollapse the reservoir after emptying it. A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client in dicates an understanding of the teaching? - "I will abstain from sexual intercourse." A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching? - Breathe in through her nose and out through pursed lips. A nurs e is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor? - Hypotension A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to take hydroxyzine preoperatively. Which of the following effects of the medication should the nurse include in the teaching? (Select all that apply.) - ✔Decreasing anxiety ✔Controlling emesis ✔Reducing the amount of narcotics needed for pain relief A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should reinforce to the client to take which of the following dietary supplements with this medication? - Iron A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse give priority in the immediate postoperative period? - Ineffective airway clearance related to thick, copious secretion A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long -term goals is appropriate with regard to the client's mobility? - Propel a wheel chair equipped with knobs on the wheels. A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following risk factors should the nurse identify as the leading cause of non-melanoma skin cancer? - Sun exposure. Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause? - "Do you sleep well at nigh t?" A nurse is reinforcing teaching with a client about cancer prevention and plans to address the importance of foods high in antioxidants. Which of the following foods should the nurse include in the teaching? - Fresh berries A nurse is assisting wit h caring for a client who has a new concussion following a motor -vehicle crash. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure? - Lethargy A nurse is reinforcing teaching about a t onometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching? - "This test will measure the intraocular pressure of the eye." A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse identify as the most important to report to the provider? - Increase in serum creatinine A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect? - Drop in systolic BP more than 10 mm Hg on inspiration A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. Which of the following actions should the nurse take? - Attempt to determine what the client was looking for. A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take? - Check pedal pulses every 15 min. A nurse is assisting with planning an immunization cli nic for older adult clients. Which of the following information should the nurse plan to include about influenza? - The composition of the influenza vaccine changes yearly. A nurse is caring for an older adult client who has colon cancer. The client asks the nurse several questions about his treatment plan. Which of the following actions should the nurse take? - Help the client write down questions to ask his provider. A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is distressed over his mother's crying and condition. Which of the following responses should the nurse make? - "It must be hard to see your mother so ill and upset." A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching? - Forgetfulness gradually progressing to disorientation