ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 2

GREEN--NEW QUESTIONS YELLOW--AGREED ANSWER RED --DOUBLE CHECK a nurse is planning care for a client who has Meniere's disease and his experiencing episodes of vertical. which of Following intervention should the nurse include in the plan of care? Maintain strict bed rest pg 75 Restrict fluid intake to the morning hours. Administer aspirin. Provide a low-sodium diet. a nurse is assessing a client of possible exposure of HIV . Which of the following findings should the nurse identify as an early manifestation of HIV infection? Stomatitis Fatigue Wasting syndrome Lipodystroph Play nurse is teaching a client about using continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea . Which of the following information should the client include in the teaching? It delivers a preset amount of inspiratory pressure at the beginning of each breath pg 119?????? it has continuous adjustment feature that changes the airway pressure throughout thecycle it delivers a preset amount of airway pressure throughout the breathing cycle it delivers positive pressure at the end of each breath A nurse is teaching a client about fecal cult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching? "Your provider will use stool from your digital rectal examination to perform the test." "Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the bowel." "You should begin annual fecal occult blood testing for colorectal cancer screening at 40 years old." "You should avoid taking corticosteroids prior to testing." A nurse is preparing a client for a colonoscopy. Which of the following medication should the nurse anticipate the provider to prescribe as an anesthetic for the procedure? Propofol pg 303 Pancuronium Promethazine Pentoxifylline A nurse is teaching a client who has hypertension about dietary modifications to help control blood pressure. Which of the following food choices should the nurse recommend as a best choice for the client to include in their diet? 1 packet of reconstituted dry onion soup 3 oz of lean cured ham 3 oz of chicken breast ½ cup of canned baked beans A nurse is caring for a client who has rheumatoid arthritis and has been taking Prednisone. Which of the following finding should the nurse identify as an adverse effect of this medication? Weight loss hypoglycemia hypertension Hyperkalemia A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of the following intervention should the nurse implement? Place several pillows behind the client's head place the client in a Sims position - per p. 83 of 2019 version, first intervention to decrease ICP is to elevate head to at least 30o keep the client's neck in a midline position maintain flexion of the client's hips at a 90 degree angle A home health nurse is providing teaching to the family of a client who has a seizure disorder. Which of the following intervention should the nurse include in the teaching? Keep a padded tongue blade near the bedside. Place a pillow under the client's head while in bed during a seizure. Administer diazepam orally at the onset of seizures. Position the client on their side during a seizure pg 36 A nurse is assessing a client who has meningitis the nurse should identify which of the following findings as a positive kernig's sign? After stroking the lateral area of the foot, the client's toes contract and draw together. After hip flexion, the client is unable to extend their leg completely without pain pg 31 The client's voluntary movement is not coordinated. The client reports pain and stiffness when flexing their neck. A nurse is providing discharge teaching to a client who has heart failure and a prescription for furosemide 20 mg PO two times daily. Which of the following instruction should the nurse include in the teaching? Monitor for increased blood pressure. Increase intake of high-potassium foods pg 207 Expect an increase in swelling in the hands and feet. Take the second dose at bedtime.