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1. A nurse is caring for a client - Places body weight on the crutches
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who has a leg cast and is re- - Advances the unattected leg onto the stair
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turning to demonstrate on th - Shifts weight from the crutches to the unattected leg
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e proper use of crutches whil - Bringsthecrutchesandtheattectedleguptothestair
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e climbing stairs. Iden-
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tify the sequence the client s
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houldfollow whendemon- sp ps ps
strating crutch use.
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- Brings the crutches and t ps ps ps ps
he affected leg up to the st
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air
- Places bodyweight on the c ps ps ps ps ps
rutches
- Shifts weight from the cru ps ps ps ps
tches to the unaffected leg ps ps ps ps
- Advancestheunaffected l sp sp ps
eg onto the stair
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2. A nurse is caring for a client -Constipation
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who has hypothyroidism. ps ps
Which of the following man- RATIONALE: A client who has hypothyroidism can experience con-
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ifestations should the nurse stipation due to the decrease in the client's metabolism, resulting
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expect? in slowmotility oftheGItract. The nurse should instructthe client toincrea ps sp ps sp sp sp ps ps ps ps sp ps ps sp
- Constipation sefiberandfluidintaketoreducetheriskforconstipation. sp sp sp sp sp sp sp sp sp sp
- Insomnia
- Tachycardia
- Diaphoresis
3.
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, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
ps ps ps ps ps ps ps ps ps ps
CORRECTDETAILEDANSWERSWITHRATIONALES sp sp sp sp
A nurse is assessing a clien
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- Alternate application of heat and cold to the attected joints ps ps ps ps ps ps ps ps ps
t who has a diagno-
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sis of rheumatoid arthri-
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RATIONALE: The nurse shouldinstruct the client toalternateheat andc ps ps ps sp ps ps ps sp sp ps sp
tis. Which of the following n
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oldapplicationsto decreasejoint inflammationandpain.The application
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onpharmacological inter- ps
ofcoldcanrelievejoint swelling andtheapplicationof heat can decreas
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ventions should the nurse s
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e joint stittness and pain.
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uggest to the client to re- ps ps ps ps ps
duce pain?
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- Increase intakeof foods c ps ps ps ps
ontaining calcium p s
- Alternate application of h ps ps ps
eat and cold to the affect-
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ed joints
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- Keeptheaffectedextremi- sp sp sp
ties elevated
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- Limit movement of the af- ps ps ps ps
fected joints
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4. Anurse is caring for a client -Slowtheinfusionrate
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who is receiving a blood ps ps ps ps
transfusion. The client be- RATIONALE: Dyspnea, restlessness, and the onset of crackles during a bloo ps ps ps
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comes restless, dyspneic,
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d transfusion are manifestations of circulatory overload. The nurseshoul
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and has crackles noted to ps
dsloworstoptheinfusiontoimprovetheclient'sability
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the lung bases. Which of the tobreath, place the client in an upright position, and notify the
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following actions should the provider. The provider might prescribe a diuretic to alleviate the
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nurse anticipate taking? fluid overload. ps ps
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- Administeranantihista- sp sp
mine
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- Slow the infusion rate p s p s p s
- Givetheclientacorticos- sp sp sp sp
teroid
ps
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, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
ps ps ps ps ps ps ps ps ps ps
CORRECTDETAILEDANSWERSWITHRATIONALES sp sp sp sp
- Elevatethe client's lower e ps ps ps ps
xtremities
5. A nurse in the emergency d - "It'slikeacurtainclosedovermyeye."
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epartment is assessing a cli ps ps ps ps
ent who has a detached reti RATIONALE: A retinal detachment is the separationof theretina from the
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na. Which of the follow- ps
epithelium. It can occur because of trauma, cataract ps ps ps
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ing should the nurse expect surgery, retinopathy, or uveitis. Clients who have retinal detach-
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theclientto report? sp
menttypically reportthesensationofacurtainbeingpulledover part of the
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- "It's like a curtain closed o visual field.
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ver my eye." ps ps
- "This sharp pain in my eye st ps ps ps ps ps ps
arted 2 hours ago." ps ps ps
- "I've been having more a ps ps ps ps
nd more difficulty seeing ov
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er the last few weeks."
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- "I seem to have more prob-
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lems seeing different col-
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ors."
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6. A nurseisteaching a client w - Addcabbagetothediet
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ho has a family history ps ps ps ps
of colorectal cancer. To help RATIONALE:To helpreducetherisk for colorectalcancer,theclient should
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mitigate this risk, which of th consume a diet that is high in fiber, low in fat, and low in refined car
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e following dietary alter-
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bohydrates. Brassica vegetables, such as cabbage, ps ps
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ations should the nurse rec- cauliflower,andbroccoli,arehighin fiber.
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ommend?
- Addfull- sp
fatyogurttothe diet sp sp sp ps
- Add cabbage to the diet ps ps ps ps
- Replace butter with p s p s
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, ATI RN MEDICAL SURGICAL WITH NGN 2024-2025 COMPLETE 180 QUESTIONS AND
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CORRECTDETAILEDANSWERSWITHRATIONALES sp sp sp sp
coconut oil ps
- Replaceshellfishwithred sp sp sp ps
meat
7. A nurse is caring for a client -Instructtheclienttosplinttheabdomenwithapillowforcough-
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whoispostoperative follow- ing sp ps ps p s
ing abdominal surgery. p s p s
RATIONALE: It is important for the client to turn, cough, and deep breathet ps ps ps ps ps ps ps ps ps ps ps ps sp
A nurse is caring for a client o reduce therisk for respiratory complications. Thenurse shouldinstructt
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who is postoperative. Which heclienttosplinttheincisionwhileperforming these actions to reduce th
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of the following ac-
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e risk of complications to the surgical
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tions should the nurse take? incision. ps ps ps ps p s
(Select all that apply.) ps ps ps
- Ask the client to rate their p - Plantoambulatetheclientassoonaspossible
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ainon a 0 to10 pain scale
RATIONALE: The nurse should plan to ambulate the client as soon as poss
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- Instructtheclienttosplint
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ible to promote ventilation and decrease the risk of throm- bosis..
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the abdomen with a pillow f
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or coughing ps
- Plan to ambulate the client
- Report urinary output totheprovider
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as soon as possible
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- Apply oxygen via a face RATIONALE: The client should produce at least 30 mL of urine per hou
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mask r. Therefore,thenurseshouldreport this finding to the provider. ps sp sp sp sp ps ps ps ps ps
- Report urinary output to t ps ps ps p s
he provider ps -Ask the client to rate their pain on a 0 to 10 pain scale sp ps ps ps ps ps ps ps ps ps ps ps ps ps
RATIONALE:The nurse should have the client rate theirpain prior to an ps ps ps ps ps ps ps ps ps ps ps ps
d following theadministrationof painmedication to evaluate its ettecti
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veness.
8. A nurse is caring for a client -Theclient'ssurgicalsitedressinghasrequiredchangingtwicein
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whoispostoperativefollow- 2hrduetodrainage
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