ATI Capstone Adult Medical Surgical
Assessment 2
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Pancreatitis ATI Capstone Adult Medical Surgica... Chapter 3 Patient an
47 terms 50 terms 27 terms
jamey_eason1 Preview Kalopes84 Preview teresa_490
1. A nurse is teaching a group of Provide supervision to prevent a client from becoming injured
assistive personnel (AP) about or lost
caring for clients who have A client who has Alzheimer's disease can wander and become
Alzheimer's disease. Which of lost. The AP should initiate interventions to keep the client safe,
the following information should such as redirection, frequent monitoring, and reorientation. The
the nurse include in the AP should encourage a client who has Alzheimer's disease to
teaching? participate in activities for as long as possible because
socializing with others can provide the client with comfort = D
Explain procedures in full detail
to client before initiating care
Limit a client's activities to
minimize emotional outbursts
Speak clearly and loudly to a
client who is unable to form
words or sentences
Provide supervision to prevent a
client from becoming injured or
lost
A nurse is developing a plan of Monitor the client’s skin under the halo vest
care for a client who will be
placed in halo traction following
surgical repair of the cervical
spine. Which of the following
interventions should the nurse
include in the plan?
A nurse is providing discharge Consume high-calorie foods
teaching for a client who has
COPD about nutrition. Which of
the following instructions should
the nurse include?
, 4. A nurse is caring for a client Airborne precautions
who has anew diagnosis of
tuberculosis. Which of the
following precautions should
the nurse initiate to prevent
transmission of the disease?
5. A nurse is preparing a client Propofol
for a colonoscopy. Which of the
following medications should
the nurse anticipate the provider
to prescribe as an anesthetic for
the procedure?
6. A nurse is teaching a group of Early menopause
clients about the risk factors for
osteoporosis. Which of the
following should the nurse
include as a risk factor for
osteoporosis?
7. A nurse is caring for a client The dressing was changed 7 days ago
who has a peripherally inserted
central catheter (PICC). For
which of the following findings
should the nurse notify the
provider?
8. A nurse is reviewing the Breath sounds
medical record of a client who
has unstable angina. Which of
the following findings should the
nurse report to the provider?
Exhibit 1 - Graphic record: BP
106/62 mm Hg, Temp 38°C
(100.4°F), HR 112/min, Resp rate
26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is
cool & moist with pallor
need.Bilateral breath sounds
with crackles heard at bases of
lungs.
Pedal pulses are present at 1+
bilateral. Exhibit 3 - Diagnostic
results: Creatine kinase
9. A nurse is planning care for a Administer oxygen to a client who has an oxygen saturation of
group of postoperative clients. 91%
Which of the following
interventions should the nurse
identify as the priority?
Assessment 2
Save
Students also studied
Flashcard sets Study guides
Pancreatitis ATI Capstone Adult Medical Surgica... Chapter 3 Patient an
47 terms 50 terms 27 terms
jamey_eason1 Preview Kalopes84 Preview teresa_490
1. A nurse is teaching a group of Provide supervision to prevent a client from becoming injured
assistive personnel (AP) about or lost
caring for clients who have A client who has Alzheimer's disease can wander and become
Alzheimer's disease. Which of lost. The AP should initiate interventions to keep the client safe,
the following information should such as redirection, frequent monitoring, and reorientation. The
the nurse include in the AP should encourage a client who has Alzheimer's disease to
teaching? participate in activities for as long as possible because
socializing with others can provide the client with comfort = D
Explain procedures in full detail
to client before initiating care
Limit a client's activities to
minimize emotional outbursts
Speak clearly and loudly to a
client who is unable to form
words or sentences
Provide supervision to prevent a
client from becoming injured or
lost
A nurse is developing a plan of Monitor the client’s skin under the halo vest
care for a client who will be
placed in halo traction following
surgical repair of the cervical
spine. Which of the following
interventions should the nurse
include in the plan?
A nurse is providing discharge Consume high-calorie foods
teaching for a client who has
COPD about nutrition. Which of
the following instructions should
the nurse include?
, 4. A nurse is caring for a client Airborne precautions
who has anew diagnosis of
tuberculosis. Which of the
following precautions should
the nurse initiate to prevent
transmission of the disease?
5. A nurse is preparing a client Propofol
for a colonoscopy. Which of the
following medications should
the nurse anticipate the provider
to prescribe as an anesthetic for
the procedure?
6. A nurse is teaching a group of Early menopause
clients about the risk factors for
osteoporosis. Which of the
following should the nurse
include as a risk factor for
osteoporosis?
7. A nurse is caring for a client The dressing was changed 7 days ago
who has a peripherally inserted
central catheter (PICC). For
which of the following findings
should the nurse notify the
provider?
8. A nurse is reviewing the Breath sounds
medical record of a client who
has unstable angina. Which of
the following findings should the
nurse report to the provider?
Exhibit 1 - Graphic record: BP
106/62 mm Hg, Temp 38°C
(100.4°F), HR 112/min, Resp rate
26/min, urine output 90 mL/h hr
Exhibit 2 - Nurse's notes: Skin is
cool & moist with pallor
need.Bilateral breath sounds
with crackles heard at bases of
lungs.
Pedal pulses are present at 1+
bilateral. Exhibit 3 - Diagnostic
results: Creatine kinase
9. A nurse is planning care for a Administer oxygen to a client who has an oxygen saturation of
group of postoperative clients. 91%
Which of the following
interventions should the nurse
identify as the priority?
