Ati Rn Adult Medical Surgical Practice 2019 B (90 Q&A) 100%Verified Answers.
ATI RN ADULT MEDICAL SURGICAL PRACTICE 2019 B (90 Q&A) 100%VERIFIED ANSWERS. 1. A nurse is providing dietary teaching to a client who has celiac disease. Which of the following choices should the nurse identify as an indication that the client understands the teaching? = Grilled chicken breast R: Celiac disease people should avoid gluten. The grilled chicken breast does not have gluten. Chocolate pudding contains wheat starch. 2. A nurse is developing a teaching plan for a client who has gout. Which of the following recommendations should the nurse include? = Decrease intake of purine meats 3. A nurse is assessing a client who has a comminuted fracture of the femur. Which of the following should the nurse identify as an early manifestation of a fat embolism? = Dyspnea R: Dyspnea, along with tachypnea and a decreased arterial oxygen level are signs of a fat embolism. 4. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia? = heart rate 52/min R: Other manifestations include a significant rise in systolic and diastolic pressures, severe headache, and flushing. 5. A nurse caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? = Calcium RThe clientnt with pancreatitis is expected to have decreased calcium and magnesium levels due to fat necrosis. 6. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. Which of the following instructions should the nurse include in the teaching? = Consume at least 30 g of fiber daily 7. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Which of the following statements by the client reflects an understanding of the teaching? = “This identifies if the pacemaker cells of my heart are working properly.” 8. A nurse is planning care for a client who has community-acquired pneumonia. Which of the following interventions should the nurse include in the plan of care? = Monitor the client for confusion R: Pneumonia is an inflammatory process resulting in increased exudatand a thickening and narrowing of the airways, which causes hypoxia. The reduced oxygen level places the client at risk for confusion. ATI RN ADULT MEDICAL SURGICAL PRACTICE 2019 B (90 Q&A) 100%VERIFIED ANSWERS. 9. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing’s triad? = Bradycardia R: The other two components are severe hypertension and a widened pulse pressure. 10. A nurse is administering meperidine IM in the right deltoid of a client. The nurse aspirates and pulls back blood in the syringe. Which of the following actions should the nurse take? = Dispose of the medication. R: The presence of blood indicates improper needle placement. The medication and needle are now contaminated. 11. A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? = “I will monitor my blood pressure while taking this medication.” R: HTN is a common adverse effect and can lead to hypertensive encephalopathy. 12. A nurse is caring for a client who is undergoing renal dialysis to treat end-stage kidney disease. The client reports muscle cramps and a tingling sensation in his hands. Which of the following medications should the nurse plan to administer? = Calcium carbonate R: Hypocalcemia is a manifestation of ESKD and an adverse effect of dialysis. 13. A nurse is providing teaching to a client who is at risk for developing type 1 diabetes. The nurse should inform the client that wof the following manifestations indicates diabetes? (Select all) * Polyuria * Polydipsia * Neuropathy 14. A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect? = Elevated bilirubin level 15. A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? = Increase fluid intake R: To get rid of the barium that was used during the test. 16. A home health nurse is assigned to a client who has recently dischargebeen d formfromehabilitation center after experiencing a right hemispheric cerebrovascular accident (CVA). Which of the following neurologic deficits should the nurse expect to find when assessing the client? (Select alVisual-spatialatial deficits * Left hemianopsia * One-sided neglect.
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