RN ATI concept-based assessment, proctored exam for level 2|Test Bank|2022

Question:-A nurse is assessing a client who has been taking antacids frequently for gastrointestinal distress. The assessment findings include drowsiness, muscle weakness, bradycardia, and hypotension. Which of the following electrolyte imbalance should the nurse suspect? a. hypophosphatemia b. hypochloremia c. hypomagnesemia d. hypernatremia {{Correct Ans- c The nurse should indentify that frequent ingestion of antacids adn laxatives that contain Mg can cause hypermangesemia. Malinfestations include hypotension, bradycardia, absent deep tendon reflexes, weak skeletal muscle ctxs, ECG changes, lethargy, and drowsiness that can progress to coma. Question:-A nurse is assessing a client who ahs developed type 1 herpes simplex virus. Which of the following image should the nurse identify as this type of viral infection? a. oral resin or thrush on the oral mucous membrane b. rash which consists of blisters on one side of the body c. cold sore on lips d. rash between toes {{Correct Ans- c Herpes simplex virus infection is a common viral infection in adults. The nurse should identify that this iamge indicates the type 1 herpes simplex viral infection because the infection causes a recurring cold sore. Question:-A nurse is planning care for a client who has pneumonia. Which of the following interventions should the nurse include in the plan? a. direct the client to perform IS Q2H. b. titrate O2 to maintain the client's O2 saturation level at 90%. c. teach the client how to cough up secretions. d. maintain the client in a low-Flower's position. {{Correct Ans- c The nurse should instruct the client how to cough and breathe deeply to expel productive secretions and clear the airway for optimal breathing. Question:-a nurse is teaching a client who has asthma about using metered-dose inhaler. which of the following client statements incdicates an understanding of the teaching? a. 'I'll roll the canister b/w my palms a few times before using it.' b. 'I'll take a deep breath and blow it out before I inhale the medication. c. 'I'll hold the mouthpiece 3 inches in front of my mouth before depressing the canister.' d. 'I'll hold my breath for up to 5 seconds after inhaling the medications.' {{Correct Ans- b The cilent should take a deep breath while sitting or standing then exhale forcefully when prparing to self-administer the inhalant meds. Question:-a nurse is teaching a female adult client who is obese about disease management. which of the following informaiton should the nurse include in the teaching? a. average body fat for women is 15%. b. obesity can cause osteoporosis. c. morbid obesity is measures as a BMI over 40. RN ATI concept-based assessment, proctored exam for level 2|Test Bank|2022 RN ATI concept-based assessment, proctored exam for level 2|Test Bank|2022 d. coronary artery disease increase with a waist size of 81.28 cm (32 in). {{Correct Ans- c The nurse should instruct the client that the expected reference range for a healthy weight is a BMI of 25 or less. A client who has a BMI of 40 or greater is consdered morbidly obese. Question:-a nurse is planing care for a client who has chemotherapy-induced anemia and is st