ATI PN Adult Medical Surgical 2020 with NGN

A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider? a) Potassium 4.0 mEq/L b) Lithium 0.9 mEq/L c) BUN 12 mg/dL d) Sodium 132 mEq/L - D. Sodium 132 mEq/L A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3. Which of the following actions should the nurse take? a) Cleanse the client's toothbrush with hydrogen peroxide. b) Instruct the client to use a disposable razor to shave. c) Decrease the client's protein intake. d) Encourage the client to eat unpasteurized dairy products. - A. Cleanse the client's toothbrush with hydrogen peroxide. A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first? a) Activate the fire alarm system. b) Use a fire extinguisher at the source of the smoke. c) Assist the client to a nearby common area. d) Close the doors to the room and to the bathroom. - C. Assist the client to a nearby common area. A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan? a) Apply foam handles to the client's eating utensils. b) Obtain a referral for physical therapy. c) Have an assistive personnel feed the client.d) Ask the provider for a prescription for a pureed diet. - A. Apply foam handles to the client's eating utensils. A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin? a) Atorvastatin b) Metformin c) Sildenafil d) Omeprazole - C. Sildenafil A nurse is preparing to obtain a postprandial blood glucose level from a client who has diabetes mellitus. Which of the following actions should the nurse take? a) Apply the first drop of blood to the test strip. b) Clean the client's finger with hexachlorophene. c) Prick the central tip of the client's finger. d) Hold the client's finger in a dependent position. - D. Hold the client's finger in a dependent position. A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching? a) "It is common for one breast to be larger than the other." b) "It is common for the skin on my breasts to dimple." c) "I will perform breast exams the day my period begins." d) "I will perform breast exams every other month." - A. "It is common for one breast to be larger than the other."