RN ATI ADVANCED MEDICAL SURGICAL PROCTORED EXAM 2023 WITH NGN

QUESTION 5 A client is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the right femur. Which intervention will be included in the plan of care? a. Immobilization of the right leg b. Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs) c. Frequent weight-bearing exercise d. Support of the right leg in a flexed position ANSWER: Immobilization of the right leg Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures. Weight-bearing exercise increases the risk for pathologic fractures. NSAIDs are frequently prescribed to treat pain. Flexion of the affected limb is avoided to prevent contractures. Discharge teaching for the client with esophageal reflux disease includes instructing the client to: a. Decrease protein intake b. Elevate the foot of the bed with 6-inch blocks c. Eat a high-carbohydrate snack before bed d. Reduce caffeine intake and smoking ANSWER: Reduce caffeine intake and smoking Once healing has occurred, persons with a hip prosthesis are encouraged to participate in: a. High-impact exercises such as swimming b. Low-impact exercises such as jogging c. High-impact exercises such as bowling d. Low-impact exercises such as walking ANSWER: Low-impact exercises such as walking A client with glaucoma who has been using timolol (Timoptic) drops for several days tells the caregiver that the eyedrops cause eye burning and visual blurriness for a short time after administration. The best response to the client's statement is a. "These symptoms are caused by glaucoma and may indicate a need for an increased dosage of the eyedrops." b. "The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision." c. "These are normal side effects of the drug, which should become less noticeable with time." d. "If you occlude the puncta after you administer the drops, it will help relieve these side effects." ANSWER: "The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision." Clients should be instructed that eye discomfort and visual blurring are expected side effects of the ophthalmic drops but that the drops must be used to prevent further visual-field loss. The temporary burning and visual blurriness might not lessen with ongoing use, are not relieved by avoiding systemic absorption, and are not symptoms of glaucoma. Clients should be taught that Zollinger-Ellison syndrome is: a. An ulcerative syndrome caused by a gastrinoma b. An infectious syndrome caused by Helicobacter pylori c. Related to the indiscriminate use of nonsteroidal antiinflammatory drugs (NSAIDs) d. A type of peptic ulcer related to stress ANSWER: An ulcerative syndrome caused by a gastrinoma