ATI CBC Level 2 Study Guide With Complete Solution

A community health nurse is teaching a group of older adult clients about interventions to prevent pneumonia. Which of the following instructions should the nurse include in the teaching? - Answer Wash your hands when you return home from running errands A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of the following findings should the nurse identify as a risk factor for developing cholecystitis? - Answer Client is taking atorvastatin A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain. The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following medications should the nurse anticipate the provider will prescribe for the client? - Answer Naloxone A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux. Which of the following information should the nurse include in the teaching? - Answer Plan to finish eating at least 3 hr before bedtime A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings should the nurse expect? - Answer Circumoral tingling A nurse is leading a small group discussion in an acute care mental health facility when one client suddenly begins to experience a panic attack. Which of the following actions should the nurse take? - Answer Remain with the client until manifestations subside A nurse in an emergency department is assessing a client who reports severe constipation. The nurse should identify which of the following findings as an indication that the client might have a small-bowel obstruction? - Answer Visible peristaltic waves in the upper abdomen A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the nurse that the client has a continuing infection? - Answer Positive leukocyte esterase A nurse is providing discharge teaching for a client who had lithotripsy to break up calculi in the right kidney. Which of the following findings should the nurse instruct the client to report to the provider? - Answer Painful urination A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings is a priority to report to the provider? - Answer Hemoglobin 7.6 mg/dL A nurse in an emergency department is caring for a client whose ABG results are pH 7.31, PaCO2 50mm Hg, and HCO3- 25 mEq/L after experiencing an airway obstruction. Which of the following interventions is the nurse's priority for this client? - Answer Apply oxygen therapy to the client A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect? - Answer Exophthalmos A nurse is providing teaching to a client who has a hearing impairment and has a new prescription for a hearing aid. Which of the following client statements indicates an understanding of the teaching? - Answer "I will make sure the hearing aid is off before inserting it in my ear" A nurse is assessing a client who has an ulcer due to peripheral vascular disease. Which of the following findings should the nurse identify as an indication that the client has a venous ulcer rather than an arterial ulcer? - Answer Discoloration and edema of the right ankle A nurse is providing home care instructions to a client who had a short-arm plaster cast applied for a wrist fracture. Which of the following instructions should the nurse include? - Answer Elevate the wrist above heart level A nurse is providing discharge planning for a client who has gestational diabetes. Which of the following interventions should the nurse identify as the priority? - Answer Determine the client's knowledge regarding gestational diabetes A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of the following manifestations should the nurse expect? - Answer Facial eruption A nurse is teaching about foot care with a group of older adults who have type 1 diabetes mellitus. Which of the following information should the nurse include in the teaching? - Answer Trim toenails straight across to prevent ingrown toenails A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following information should the nurse include in the teaching? - Answer "You should contact your provider if your pulse rate drops below 60 per minute." A nurse is providing discharge teaching to a client who is postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Which of the following instructions should the nurse include in the teaching? - Answer "Perform Kegel exercises several times throughout the day." A nurse is teaching a client who has a new prescription for finasteride to treat benign prostatic hyperplasia. Which of the following instructions should the nurse include in the teaching? - Answer "You might need to take the medication for several months before seeing any relief." A nurse on a mental health unit is developing a plan of care for a client who is experiencing a panic level of anxiety. Which of the following actions should the nurse identify as the priority? - Answer Protect the client from harm A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this chronic disease. Which of the following instructions should the nurse include? - Answer -Increase dairy product intake -Engage in weight-bearing exercises regularly -Reduce excessive caffeine intake A nurse is caring for a client who has cellulitis of the lower extremity. Which of the following actions should the nurse take? - Answer -Elevate the affected area 15.24 cm (6 in) above the heart -Administer cefazolin intermittent IV bolus A nurse is providing discharge teaching to an older adult client who had surgery to treat visual impairment due to cataracts. Which of the following client statements indicates an understanding of the teaching? - Answer "It might take 4 to 6 weeks for my vision to fully improve." A nurse is teaching a client who has asthma about using a metered-dose inhaler. Which of the following client statements indicates an understanding of the teaching? - Answer "I'll take a deep breath and blow it out before I inhale the medication." A nurse in an emergency department is assessing a preschooler who has severe dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the following findings should the nurse identify as an indication that the treatment is effective? - Answer Brisk skin turgor A nurse in a provider's office is completing a preoperative screening for a client who is scheduled for a knee arthroplasty later that week. Which of the following findings requires the nurse's intervention? - Answer Coagulation time A nurse is assessing a client who reports a new onset of joint pain and stiffness. Which of the following findings should the nurse identify as an indication of osteoarthritis? - Answer Joint pain improves with rest A nurse is providing teaching to a client who has chronic obstructive pulmonary disease (COPD). Which of the following statements should indicate to the nurse that the client understands the teaching? - Answer "I should make my abdomen rise with each inhalation." A nurse is assessing a client who has developed type 1 herpes simplex virus. Which of the following images should the nurse identify as this type of viral infection? - Answer The lip picture