med surg ati capstone exam
a nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect - ANS
the pt reports tingling and burning sensation in one foot
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a
"migraine coming on", the nurse should expect the pt to report what manifestation - ANS visual
disturbance
a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as
the disease progresses, what would she include? - ANS double vision
a nurse is teaching a pt who has asthma about using a peak flow meter, when a yellow zone meter
reading appears, the nurse should instruct the pt to take which of the following actions - ANS take
prescribed relief meds
a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they are
experiencing the crisis - ANS hypotension (aldosterone deficit)
a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new prescription to resume
oral intake, what item should the nurse offer the pt - ANS gelatin
a nurse is providing education to a pt who is scheduled for a barium swallow, what statement
indicates understanding of the teaching? - ANS i will remove my metal jewelry before coming in
a nurse is caring for pt who is undergoing a liver biopsy, what instruction should the nurse provide to
the pt following the procedure - ANS lie on your right side
a nurse is teaching a pt who has a hiatal hernia about dietary selections to maintain lower
esophageal sphincter (LES) pressure, what choice by the pt indicates understanding - ANS cheddar
cheese
(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and alcohol)
a nurse is reviewing the lab results of a pt who has unstable angina and has been receiving heparin
via continuous IV infusion for the past 5 days, what lab values should the nurse identify as an
indication that the pt has developed HIT - ANS platelets 90,000
, a nurse is teaching a pt who has a new diagnosis of polycystic kidney disease, what statement should
the nurse include in the teaching - ANS apply dry heat to your abdomen when needed
a nurse is obtaining the health history of a young adult male client, what information should indicate
to the nurse that the pt is at high risk for developing testicular cancer - ANS undescended right testis
a nurse is instructing a pt's caregiver on how to position the client before administering tube
feedings in the home, which demonstrates understanding? - ANS i will sit him up in bed
a triage nurse finds a school-age child lying in the road following a school bus crash with multiple
causalities, the child has a respiratory rate of 10/min, strong distal pulses, and groans to painful
stimuli, what action should the nurse take - ANS place an emergent category on the child's upper
body and yell for help
a nurse is caring for a client who has renal failure, what ABG result would the nurse expect - ANS ph
7.25
HCO3 20
PaCO2 35
a nurse is caring for pt who has a cerebellar tumor, what action is the nurse's priority - ANS provide
assistance with ambulation
a nurse is assessing a pt who has a spinal cord injury, what finding indicates the client might be
experiencing neurogenic shock - ANS heart rate 52/min
a nurse is caring for a pt who has renal caliculi, what prescription by the provider is the priority
action for the nurse to take - ANS strictly monitor intake and output
a nurse is caring for a pt who is immediately postoperative following a pheochromocytoma removal,
what action is priority - ANS monitoring BP
a nurse is assessing a female pt who reports severe joint pain, the nurse should identify which of the
following factors places the pt at risk for gout - ANS diuretic use
a nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect - ANS
the pt reports tingling and burning sensation in one foot
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a
"migraine coming on", the nurse should expect the pt to report what manifestation - ANS visual
disturbance
a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as
the disease progresses, what would she include? - ANS double vision
a nurse is teaching a pt who has asthma about using a peak flow meter, when a yellow zone meter
reading appears, the nurse should instruct the pt to take which of the following actions - ANS take
prescribed relief meds
a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they are
experiencing the crisis - ANS hypotension (aldosterone deficit)
a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new prescription to resume
oral intake, what item should the nurse offer the pt - ANS gelatin
a nurse is providing education to a pt who is scheduled for a barium swallow, what statement
indicates understanding of the teaching? - ANS i will remove my metal jewelry before coming in
a nurse is caring for pt who is undergoing a liver biopsy, what instruction should the nurse provide to
the pt following the procedure - ANS lie on your right side
a nurse is teaching a pt who has a hiatal hernia about dietary selections to maintain lower
esophageal sphincter (LES) pressure, what choice by the pt indicates understanding - ANS cheddar
cheese
(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and alcohol)
a nurse is reviewing the lab results of a pt who has unstable angina and has been receiving heparin
via continuous IV infusion for the past 5 days, what lab values should the nurse identify as an
indication that the pt has developed HIT - ANS platelets 90,000
, a nurse is teaching a pt who has a new diagnosis of polycystic kidney disease, what statement should
the nurse include in the teaching - ANS apply dry heat to your abdomen when needed
a nurse is obtaining the health history of a young adult male client, what information should indicate
to the nurse that the pt is at high risk for developing testicular cancer - ANS undescended right testis
a nurse is instructing a pt's caregiver on how to position the client before administering tube
feedings in the home, which demonstrates understanding? - ANS i will sit him up in bed
a triage nurse finds a school-age child lying in the road following a school bus crash with multiple
causalities, the child has a respiratory rate of 10/min, strong distal pulses, and groans to painful
stimuli, what action should the nurse take - ANS place an emergent category on the child's upper
body and yell for help
a nurse is caring for a client who has renal failure, what ABG result would the nurse expect - ANS ph
7.25
HCO3 20
PaCO2 35
a nurse is caring for pt who has a cerebellar tumor, what action is the nurse's priority - ANS provide
assistance with ambulation
a nurse is assessing a pt who has a spinal cord injury, what finding indicates the client might be
experiencing neurogenic shock - ANS heart rate 52/min
a nurse is caring for a pt who has renal caliculi, what prescription by the provider is the priority
action for the nurse to take - ANS strictly monitor intake and output
a nurse is caring for a pt who is immediately postoperative following a pheochromocytoma removal,
what action is priority - ANS monitoring BP
a nurse is assessing a female pt who reports severe joint pain, the nurse should identify which of the
following factors places the pt at risk for gout - ANS diuretic use
