ATI MEDSURG 2 NUR 265 Exam Questions And Answers Verified 100% Correct

ATI MEDSURG 2 NUR 265 Exam Questions And Answers Verified 100% Correct The newly hired nurse as attended a continuing education conference regarding anaphylaxis work allergen exposure. Which of the following statements by the newly hired nurse indicates a correct understanding of assessment findings in the client? ANSWER: The client will present with widespread hives and hypoxia. RATIONALE: Table 20-2. Hypoxia and widespread hives The nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings would the nurse identity as a complication of the disease? ANSWER: Pericardial friction rub RATIONALE: Major skin manifestation of SLE is a dry, scale, raised rash on the face. Non scarring and may increase in a lupus flare and disappear when the disease is in remission. The nurse is teaching a 25 year old female client who has SLE. Which of the following statements claims correct understanding of the teaching? ANSWER: I should take my prescribed steroids in the morning to get the best benefit RATIONALE: Pg.917. Remind patients to take their medication early in the morning before breakfast because that is the time when the body’s natural corticosteroid level is the lowest. The nurse preceptor observing a newly hired nurse care for a client who has systemic sclerosis (scleroderma) and esophagitis. Which of the following actions by the newly hired nurse requires immediate intervention by the nurse preceptor? ANSWER: Providing ice packs to the client’s hands to help with pain RATIONALE: Pg. 921. On exposure to cold or emotional stress, the small arteries in the digits of both hands and feet rapidly constrict, which causes decrease in blood flow. The nurse is obtaining a health history on a 40 year old client who has presented to the PHCP’s office for a routine physical. The client tells the nurse that there is a family history of colon cancer. Which of the following actions should the nurse take next?answer: Inform the PCHP of the client’s family hx. RATIONALE: Pg.2881. When an adult turns 40, they should discuss with MD the need for a colon cancer screening. The nurse is assessing clients for the risk of developing breast cancer. The nurse should recognize that the clients that are at greatest risk for breast cancer is a client who is a ANSWER: 64 YO Jewish female who had her first child at age 38 and has a BRCA1 gene RATIONALE: Table 70-1. Increased age, female, BRCA1 inherited mutation, women who bear their first child near or after 30. The nurse is assessing a client who is suspected of having lung cancer. Which of the following findings is consistent with this diagnosis? ANSWER: Reoccurring bronchitis RATIONALE: Table 30-5. Recurring episodes of pleural effusion, pneumonia, or bronchitis The nurse is assessing clients who are at risk of developing cervical cancer. The nurse should recognize that at greatest risk is a client who is a ANSWER: 24 yo AA who was diagnosed with HPV a year ago RATIONALE: Table 71-2. Cervical cancer risk factor is an infection of HPV. The nurse is caring for a client who is receiving a chemotherapeutic agent that has the potential to cause alopecia. Which of the following actions should the nurse take to support their self esteem?answer: Inform the client that hair usually grows back once chemotherapy is complete. RATIONALE: Pg. 1092. Regrowth usually begins 1 month after the completion of chemotherapy. The nurse is observing the unlicensed assistive personnel care for a client who is receiving sealed brachytherapy for cervical cancer. Which of the following actions by the UAP requires intervention by the nurse? ANSWER:Picking up a dislodged implant with gloved hands for placement in a lead container. RATIONALE: Chart 22-1. If it is dislodged, use a long handled forceps to retrieve it. The nurse working on the oncology unit has been made aware of the following client situations. The nurse should initially assess the client who has? ANSWER: Reports of back pain with painful urinations and is receiving IV chemotherapy. RATIONALE: Report any painful urinating. Pg. 1081. The nurse is reviewing the following lab results of clients who are receiving chemotherapy. Which results is the most important to report to the PHCP? ANSWER: Platelet count of 50,000. RATIONALE: Chart 22-6, Chart 22-5. The nurse working on the oncology unit has received the change of shift report on the following clients. Who should the nurse see first? ANSWER: 56 yo client who is receiving chest radiation and has developed a pericardial friction rub. RATIONALE: Pg. 1066. Chart 22-2. Effects of radiation therapy: Pericarditis (friction rub is an indication of pericarditis) The nurse became aware of the following client situations. The nurse should first see the client who is receiving? ANSWER: Brachytherapy for the treatment of cervical cancer and is reporting the development of nausea, vomiting, and diarrhea. RATIONALE: The nurse caring for a client who has tumor lysis syndrome that went undetected and therefore had a delay in receiving treatment. Which of the following assessment findings should the nurse correlate to the TLS? ANSWER: Cardiac dysfunction RATIONALE: Pg. 1113. Serum potassium levels can increase to the point of hyperkalemia (cardiac dysfunction). HYDRATION prevents and managed TLS by diluting the serum potassium level and increasing the kidney flow rates. The nurse is caring for a client who has cancer and has developed a spinal cord compression. Which of the following should the nurse anticipate will be prescribed to alleviate the client symptoms?answer: High dose corticosteroids RATIONALE: Pg. 1110. High dose corticosteroids given first through IV bolus to refuse swelling around the spinal cord and elevate symptoms.