Terry75

A patient about to begin therapy with etanercept has a positive tuberculin skin test. A chest radiograph is negative. The nurse will expect this patient to: a. begin taking antituberculosis drugs at the beginning of treatment with etanercept. b. have periodic chest radiographs during treatment with etanercept. c. have regular monitoring of symptoms to detect active tuberculosis. d. undergo tuberculosis treatment prior to beginning etanercept treatment. ANS: D Since tuberculosis (TB) in a ...

Guaiac Occult Test. What lab is most important? Platelet Count Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate intervention? Positive Gastro Occult A patient with Parkinson's. "Freezes." Pretends there is a crack on the floor and Carefully lifts leg and steps over. Confirm that this is the correct and effective technique. Patient had Atrial Fibrillation and then AED was used. One minute later, Patient sudden goes in to ventricular Tachycard...

1. A client with chronic kidney disease (CKD) is receiving calcium acetate 867 mg by mouth. A decrease in which blood value indicates to the nurse that the medication is having the desired affect? Phosphate 2. A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction you should provide to the client? Apply the new patch today and use a backup method for 7 days 3. A client with a history of anaphylactic react...

The client diagnosed with a pituitary tumor developed syndrome of inappropriate antidiuretic hormone (SIADH). Which interventions should the nurse implement? 1. Assess for dehydration and monitor blood glucose levels. 2. Assess for nausea and vomiting and weigh daily. 3. Monitor potassium levels and encourage fluid intake. 4. Administer vasopressin IV and conduct a fluid deprivation test. - ANS: 2. Early signs and symptoms are nausea and vomiting. The client has the syndrome of inappropria...

1. A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for PE. Which information in the client's history requires follow up by the nurse? Takes metformin hydrochloride for type 2 DM. 2. A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling increasingly depressed. Which action should the nurse implement? Notify the healthcare provider of the findings immediately. 3. Before administering the initial dose of sumatriptan ...

1. A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse? a. Serum sodium of 185 mEq/L (185 mmol/L) b. Dry skin with inelastic turgor c. Apical rate of 100 beats per minute d. Polyuria and excessive thirst 2. The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports the medical diagnosis? a. Frequent use of chewable a...

1. Before administering a laxative to a bedfast client, it is most important for the nurse to perform what assessment? A. Observe the skin integrity of the client's rectal and sacral areas B. assess the client strength in moving and turning in the bed C. evaluate the client's ability to recognize the urge to defecate D. determine the frequency and consistency of bowel movements 2. A female client with multiple sclerosis reports having less fatigue and improved memory since she be...

1. A client is scheduled for a spinal computed tomography (CT scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse? - Takes metformin hydrochloride for type 2 diabetes 2. A client recently diagnosed with multiple sclerosis who self administers beta-1a interferon reports feeling increasingly depressed. Which action should the nurse implement? - Notify the healthcare provider of the findings immediately 3. Before admi...

1. Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 antagonist irbesartan (Avapro)? - Risk for injury 2. A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? - Blood pressure has changed from 180/120 to 140/70 3. A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse anticipates an in...

1. The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond? a. many of the herbal preparations are helpful primarily because of their placebo effect b. this product is essentially harmless, but also is not very beneficial in treating skin infections c. topical echinacea is usually used to soothe burns ...

1. A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? A. Client denies recent episodes of angina B. Change in peripheral edema from + 3 to +1 C. Client denies N/V D. Blood pressure changed from 180/120 to 140/70 - D. Blood pressure changed from 180/120 to 140/70 2. After abdominal surgery a male is prescribed LMWH. During admin of medication, the client asks why he is ...

52: Epogen A client who is HIV positive is receiving epoetin (Epogen) for management of anemia secondary to zidovudine (AZT) therapy. Which laboratory finding is most important for the nurse to report to the healthcare provider? Hematocrit (HCT) of 58% the nurse reviews the blood reports of a patient who is receiving epoetin alfa (Epogen) and finds that the medication is effective. Which finding in the blood lab report enables the nurse to reach this conclusion? Hemoglobin levels of 15 g/dL ...

Which nursing action is the priority when administering chelation therapy for a toddler- age client? 1 Assessing vital signs 2 Monitoring urine output 3 Conducting a behavioral assessment 4 Providing education to reduce lead exposure - 2 A 67-year-old client has tested positive for influenza A. The client also has asthma. Which drug would the nurse recommend be avoided in this client? 1 Ribavirin 2 Zanamivir 3 Oseltamivir 4 Amantadine - 2 Which first line medication would the nurse stat...

1. A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the client include in the nurse’s teaching plan? A. Once pain subsides, NSAID therapy can be continued B. Resume a diet that consists of milk, cream, and bland foods C. Notify the healthcare provider of the passage of bl...

ATI MED SUG FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS PACKAGE DEAL 2025

1. a nurse is planning dietary teaching for a client who has diabetes mellitus. which of the following actions should the nurse plan to take first? - ask client to identify the types of foods she prefers 2. caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL - diaphoresis 3. caring for a client who is 72 hr postoperative following an above the knee amputation which actions should the nurse take? - assist the client to a prone position every...

1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. ...

1. A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first? - Ask the client to identify the types of foods she prefers. 2. A nurse is caring for a client who has type 1 DM and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect? - Diaphoresis 3. A nurse is caring for a client who is 72 hr postoperative following an above-theknee amputation. Which of t...

1. How are drugs sorted into therapeutic groups and classes? A. first by the conditions that they are used to treat, and then by their mechanisms of action B. first by their mechanisms of action, and then by their therapeutic effects C. first by their side effects, and then by therapeutic effects D. first by their toxically, and then by their effectiveness 2. Bone marrow transplants… A. … require that the patient first undergo chemotherapy or radiation to kill the diseased stem c...

Med Surg Exam 2025 1. A client is admitted to the hospital with symptoms consistent with right hemisphere stroke. With Neurovascular assessment requires immediate intervention by the nurse? A. Pupillary changes to ipsilateral dilation B. Orientation to person and place only. C. Left Sided Facial dropping and dysphagia D. Unequal bilateral hand grip strengths 2. Achieve maximum mobility and independence for a client multiple sclerosis (MS). Which intervention is most important for the ...