ATI Adult Medical Surgical -
Post-Assessment Assignment
The nurse is reinforcing teaching about a Transcutaneous Electrical Nerve Stimulation
(TENS). Which of the following statements by the nurse is accurate?
This form of pain management involves tiny needles inserted into the skin and
subcutaneous tissues.This form of pain management focused on a pleasant thought to
divert focus.This form of pain management involves meditation, yoga, and progressive
muscle relaxation.This form of pain management involves mild electrical stimulus applied to
the area of pain. - ANS This form of pain management involves tiny needles inserted into
the skin and subcutaneous tissues.
Incorrect: Rationale: This non pharmacological technique is known as acupuncture.
This form of pain management focused on a pleasant thought to divert focus.
Incorrect: Rationale: This non pharmacological technique is known as Imagery.
This form of pain management involves meditation, yoga, and progressive muscle
relaxation.
Incorrect: Rationale: This non pharmacological technique is known as Relaxation.
This form of pain management involves mild electrical stimulus applied to the area of pain.
Correct: Rationale: This non pharmacological technique is known as TENS.(Adult Med Surg
RM Chp. 4)
nurse is reinforcing teaching for a client with hypertension about the importance of
A
compliance with antihypertensive therapy. What are three (3) complications that can occur
with prolonged, untreated or poorly controlled hypertension? - ANS Complications
associated with Hypertension:Peripheral vascular disease that primarily affectsHeart
(Myocardial infarction)Brain (Cerebral Vascular Accident)Eyes (Blindness)Kidneys (Renal
insufficiency and Renal Failure)The risk of developing complications increases as blood
pressure increases.Hypertrophy of the left ventricle can develop as the heart pumps against
resistance caused by the hypertension.(Medical Surgical RM Chp. 31)
, The nurse is reinforcing teaching about foot care to the diabetic client. Which of the following
statements should the nurse make?A. "Remove any calluses or corns when they
develop."B. "Do not use any foot powder as a remedy for sweating feet."
C. "Apply lotion to feet and in between toes to keep skin soft."
D. "The best time to perform nail care is after a bath or shower." - ANS D. "The best time to
perform nail care is after a bath or shower."Correct: Rationale: Toenails are soft and easier
to trim after a bath or shower.(Medical Surgical RM Chp. 72)
The nurse is reinforcing teaching regarding the risk of hip dislocation. Describe symptoms
the client might experience with this complication - ANS Acute onset of pain; client's report
of hearing a "pop"; internal rotation of the affected extremity; shortened affected
extremity.(Medical Surgical RM Chp. 60)
The nurse is collecting a 24-hour urine specimen. What can be measured in the urine from
this form of collection? - ANS urine collected for 24 hr is used to measure urine levels of
creatinine or urea nitrogen, sodium, chloride, calcium, catecholamines, and
proteins.(Medical Surgical RM Chp. 49)
The nurse is completing a morning chart review for the client who was admitted during the
night with Crohn's disease. What would be the expected lab values for this client that would
be indicative of this disease? Please provide expected normal values and indicate if the
abnormals would be decreased, elevated or unchanged. - ANS H&H: decreased. Normal
values: Hgb: 12-18g/dL; Hct: 37-52%ESR: Elevated. Normal value: Men under 50 years old:
less than 15 mm/hr; Men over 50 years old: less than 20 mm/hr; Women under 50 years old:
less than 20 mm/hr; Women over 50 years old: less than 30 mm/hr.WBC: Elevated. Normal
value: 5000-10000mm3C-reactive protein: ElevatedPlatelets: Elevated. Normal value:
150,000-450,000 cu/mmFolic Acid and B 12: DecreasedStool for occult blood: May be
positiveUA: WBCs presentK+, Mg, Ca: Decreased Normal values: K+ 3.5-5.5mEq/L; Mg
1.3-2.1 mg/dL; Ca 9.0-10 mg/dL4(Medical Surgical RM Chp. 45)
Based on the following data, what acid-base imbalance would be noted. pH=7.32
PaCO2=58 mmHg HCO3=32 mEq/L PaO2=60 mmHg - ANS Respiratory Acidosis (Medical
Surgical RM Chp. 38)
Post-Assessment Assignment
The nurse is reinforcing teaching about a Transcutaneous Electrical Nerve Stimulation
(TENS). Which of the following statements by the nurse is accurate?
This form of pain management involves tiny needles inserted into the skin and
subcutaneous tissues.This form of pain management focused on a pleasant thought to
divert focus.This form of pain management involves meditation, yoga, and progressive
muscle relaxation.This form of pain management involves mild electrical stimulus applied to
the area of pain. - ANS This form of pain management involves tiny needles inserted into
the skin and subcutaneous tissues.
Incorrect: Rationale: This non pharmacological technique is known as acupuncture.
This form of pain management focused on a pleasant thought to divert focus.
Incorrect: Rationale: This non pharmacological technique is known as Imagery.
This form of pain management involves meditation, yoga, and progressive muscle
relaxation.
Incorrect: Rationale: This non pharmacological technique is known as Relaxation.
This form of pain management involves mild electrical stimulus applied to the area of pain.
Correct: Rationale: This non pharmacological technique is known as TENS.(Adult Med Surg
RM Chp. 4)
nurse is reinforcing teaching for a client with hypertension about the importance of
A
compliance with antihypertensive therapy. What are three (3) complications that can occur
with prolonged, untreated or poorly controlled hypertension? - ANS Complications
associated with Hypertension:Peripheral vascular disease that primarily affectsHeart
(Myocardial infarction)Brain (Cerebral Vascular Accident)Eyes (Blindness)Kidneys (Renal
insufficiency and Renal Failure)The risk of developing complications increases as blood
pressure increases.Hypertrophy of the left ventricle can develop as the heart pumps against
resistance caused by the hypertension.(Medical Surgical RM Chp. 31)
, The nurse is reinforcing teaching about foot care to the diabetic client. Which of the following
statements should the nurse make?A. "Remove any calluses or corns when they
develop."B. "Do not use any foot powder as a remedy for sweating feet."
C. "Apply lotion to feet and in between toes to keep skin soft."
D. "The best time to perform nail care is after a bath or shower." - ANS D. "The best time to
perform nail care is after a bath or shower."Correct: Rationale: Toenails are soft and easier
to trim after a bath or shower.(Medical Surgical RM Chp. 72)
The nurse is reinforcing teaching regarding the risk of hip dislocation. Describe symptoms
the client might experience with this complication - ANS Acute onset of pain; client's report
of hearing a "pop"; internal rotation of the affected extremity; shortened affected
extremity.(Medical Surgical RM Chp. 60)
The nurse is collecting a 24-hour urine specimen. What can be measured in the urine from
this form of collection? - ANS urine collected for 24 hr is used to measure urine levels of
creatinine or urea nitrogen, sodium, chloride, calcium, catecholamines, and
proteins.(Medical Surgical RM Chp. 49)
The nurse is completing a morning chart review for the client who was admitted during the
night with Crohn's disease. What would be the expected lab values for this client that would
be indicative of this disease? Please provide expected normal values and indicate if the
abnormals would be decreased, elevated or unchanged. - ANS H&H: decreased. Normal
values: Hgb: 12-18g/dL; Hct: 37-52%ESR: Elevated. Normal value: Men under 50 years old:
less than 15 mm/hr; Men over 50 years old: less than 20 mm/hr; Women under 50 years old:
less than 20 mm/hr; Women over 50 years old: less than 30 mm/hr.WBC: Elevated. Normal
value: 5000-10000mm3C-reactive protein: ElevatedPlatelets: Elevated. Normal value:
150,000-450,000 cu/mmFolic Acid and B 12: DecreasedStool for occult blood: May be
positiveUA: WBCs presentK+, Mg, Ca: Decreased Normal values: K+ 3.5-5.5mEq/L; Mg
1.3-2.1 mg/dL; Ca 9.0-10 mg/dL4(Medical Surgical RM Chp. 45)
Based on the following data, what acid-base imbalance would be noted. pH=7.32
PaCO2=58 mmHg HCO3=32 mEq/L PaO2=60 mmHg - ANS Respiratory Acidosis (Medical
Surgical RM Chp. 38)
