ATI Med-Surg Final Exam Graded A 2023

1. a nurse is providing discharge teaching to a client who has a new prescription for sublingual nitro, which of the following client statements indicates an understanding of the teaching? - i should lie down when i take this medication 2. a nurse is providing discharge teaching to an older adult client following a total hip arthroplasty. which of the following instructions should the nurse include in the teaching? - install a raised toilet seat in your bathroom 3. a nurse is planning care for a client following a cardiac cath. which of the following actions should the nurse take? - maintain the clients affected extremity in extension 4. a nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. which of the following statements indicates the client is adapting to their role change? - i will need to have my partner take over shopping for the groceries and cooking the meals for us 5. a nurse is providing discharge teaching to a client who has an impaired immune system due to chemo. which of the following instructions should the nurse include in the teaching? - change your pets liter box daily 6. a nurse is caring for a client who has a contusion and reports thirst. the clients urinary output was 4000 ml over the past 24 hours. the nurse should anticipate what prescription for which of the following IV medications? - desmopressin 7. a nurse in a clinic receives a phone call from a client who received an ace inhibitor and reports nagging dry cough. which of the following responses by the nurse is appropriate? - sucking on a lozenge may reduce the frequency of your cough 8. a nurse is taking an admin history from a client who reports raynauds disease. which of the following assessment findings should the nurse identify as a parental trigger for exacerbation of the disease? - using nicotine transdermal patch 9. a nurse is caring for a client with a central line and notes the tubing has become disconnected. the client develops dyspnea and tachycardia. which of the following actions should the nurse take first? - clamp the catheter 10.a nurse is completing an assessment of an older client and notes reddened areas over the bony prominences, but the clients skin is intact. which of the following interventions should the nurse include in the plan of care? - support the bony prominences with pillows11.a home health nurse is making an initial visit to a client who has MS. which of the following actions is the priority for the nurse to take? - provide coping strategies for client and family 12.a nurse in the ER is assessing a client. which of the following actions should the nurse take first? (click on the exhibit button) - initiate airborne precautions 13.a nurse is reviewing the medical record of a client to identify factors for colon cancer. the nurse identify which of the following findings as an increasing the clients risk? - history of crohns disease 14.a nurse is caring for a client who is scheduled for a mastectomy. the client tells the nurse "im not sure i want to have a mastectomy" which of the following statements should the nurse make? - i can give you additional information about the procedure 15.a nurse is preparing to admin a unit of packed RBCs to a client who is anemic. Identify the sequence of steps the nurse should follow? – 1. obtain venous access using 19- gauge needle 2. obtain the unit of packed RBCs from blood bank 3. verify blood compatibility with another nurse 4. initiate blood transfusion 5. remain with the client for 15-30 minutes