ATI PN Med Surg Exam B

a nurse is reinforcing teaching with an older adult client who has osteoporosis. which of the following instructions should the nurse include in the teaching? - take calcium supplements with meals a nurse is reviewing the medication record of a client who is taking digoxin. which of the following medications should the nurse identify as increasing the risk for the client to develop digoxin toxicity? - Furosemide a nurse is reinforcing teaching about insulin injections with an adult client who weighs 45.4 kg (100 lb). Which of the following statements by the client indicates an understanding of the teaching? - "i should give my shot in my belly tissue" a nurse is reinforcing discharge teaching for a client who had a mechanical mitral valve replacement. Which of the following statements by the client indicates an understanding of the teaching - "i will notify my dentist about this procedure" a nurse is reviewing the medical record for an older adult who is experiencing nausea and vomiting. based on the client data, which of the following actions should the nurse take? - notify the charge nurse of the client's BUN level a nurse is providing information regarding transmission-based precautions for a client who has clostridium difficile to an assistive personnel (AP). Which of the following instructions should the nurse include? (select all) - provide the client with disposable utensils and dishes for meals leave blood pressure equipment in the client's room clean contaminated surfaces with a bleach solution a nurse is admitting a client who is suspected of having active tuberculosis (TB). which of the following actions should the nurse take first - institute airborne precautions a nurse is caring for a client who is postoperative and has a Jackson-pratt drain. which of the following actions should the nurse take - compress the bulb reservoir and then close the drainage valve a nurse is reinforcing teaching with the parent of a toddler who has type I diabetes mellitus and whose prescription has been changed from regular insulin to lispro insulin. which of the following information should the nurse include in the teaching - lispro should be given before eating a nurse is reinforcing teaching with a client who has microcytic anemia and is prescribed a daily iron supplement. the nurse tells the client to consume foods containing cit C when taking the supplement to enhance iron absorption. which of the following client food choices indicates an understanding of the teaching? - i cup boiled broccoli a nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. which of the following interventions should the nurse include in the plan of care? - keep bed linens ff of the affected areas a nurse is reinforcing teaching with a client about increasing dietary fiber. the nurse should recommend which of the following foods as the best source of fiber? - 1/2 cup cooked kidney beans a nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following findings should indicate to the nurse that the client's therapeutic regimen is effective? - decrease in exertional dyspnea a nurse is monitoring a client who has a wrist cast and reports intense itching underneath the cast. Which of the following actions should the nurse take? - blow cool air into the case using a blow dryer on a cool setting a nurse is preparing to insert a double-lumen gastric (salem) sump tube for a client who has peptic ulcer disease and has developed gastrointestinal bleeding. Which of the following images indicates the tube that the nurse should select? - A a nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following findings should the nurse report to the provider? - diminished breath sounds a nurse is caring for a client who has been taking enalapril. the nurse should monitor the client for which of the following adverse effects? - cough a nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse take first - verify the client has given informed consent a nurse is caring for an adult client who has age-related macular degeneration. which of the following findings should the nurse expect? - distorted central vision of the eyes a nurse is planning care for a group of clients after receiving change-of-shift report. which of the following clients should the nurse plan to see first? - a client who is dehydrated, has mental confusion, and was found getting out of bed several times during the night a nurse is collecting data from a client who is receiving sumatriptan. Which of the following is an expected outcome? - diminished headache a nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. which of the following actions should the nurse take - administer oxygen via nasal cannula a nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of 58/min. which of the following actions should the nurse take? - withhold the dose a nurse is caring for a client who has neutropenia. which of the following nursing interventions should the nurse implement? - limit visitors to healthy adults a nurse is caring for a client who has an intestinal obstruction and reports a new onset of nausea. the client has an NG tube set at low intermittent suction and is receiving continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take first - check for kinks in the NG tube a nurse in a clinic is assisting with the development of a pamphlet about STIs. which of the following information should the nurse recommend to include in the pamphlet? - women have a higher risk of contracting STIs than men a nurse is reinforcing teaching with a client who is postoperative following a cemented total hip arthroplasty. Which of the following instructions should the nurse include? - maintain hip flexion to 90 degrees or less when sitting a nurse is caring for a client who is 24 hr postoperative following an abdominal surgery. which of the following findings requires immediate attention from the nurse - oxygen saturation of 88% a nurse is caring for a client following a gastrectomy. which of the following actions should the nurse take to decrease episodes of dumping syndrome - place the client in the supine position after meals a nurse is assisting with the care of a client who had a stroke and is unable to speak. the nurse should identify that the client's injury occurred in which of the following lobes of the brain? - frontal lobe a home health nurse is caring for a client who has COPD. the client tells the nurse that he becomes short of breath while eating despite the use of home oxygen. which of the following instructions should the nurse include? - drink beverages at the end of meals a nurse is reinforcing teaching with a client who has chronic kidney disease about disease management. which of the following statements by the client indicates an understanding of the teaching - i will limit my daily intake of protein a nurse is caring for a client who has dementia due to Alzheimer's disease. which of the following actions should the nurse take to reduce the client's confusion - encourage reminiscence of past experiences a nurse is caring for a client who has cushing's syndrome and expresses concern regarding body image changes. which of the following should the nurse recognize as a physical change caused by this disease? - truncal obesity a nurse is delegating the task of repositioning a client who is in the skeletal traction to an assistive personnel (AP). which of the following instructions should the nurse give the AP - allow the weights to hang freely a nurse is contributing to the plan of care for a client who has a head injury and is at risk for increased intracranial pressure (ICP). which of the following actions should the nurse include in the plan? - use a turn sheet to reposition the client nurse is preparing to administer an influenza vaccine to a client. which of the following statements by the client should cause the nurse to postpone administration of the vaccine - i had a low fever this morning