Science Medicine Nursing
ATI PN Med Surg
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Gerontology ATI PN ADULT MED SURG PROCTO... Exam 2 (Chapter 4, 5, 7, 10, 14, 17) Fluid an
97 terms Teacher 91 terms 308 terms Teacher
C428349 Preview Carolyn_Nyawira Preview marrininnis Preview Gin
A nurse is participating in a health fair for older adult Herpes zoster
clients. Which of the following vaccines should the nurse
recommend for this age group? Rationale:
The nurse should recommend the herpes zoster vaccine for adults who are 60
years of age and older.
--------------
The nurse should recommend the meningococcal vaccine to college students
and military recruits who are living in shared housing.
The nurse should recommend the HPV vaccine for clients who are 9 to 26 years of
age.
The nurse should recommend the MMR vaccine to clients who are 62 years of
age.
A nurse is reviewing the laboratory results of a client who Creatinine 1.9 mg/dL
is scheduled for a CT scan with an IV contrast agent.
Which of the following laboratory findings should the Rationale:
nurse report to the provider prior to the procedures? Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the
nurse should report the finding to the provider before the client has a CT scan
with an IV contrast agent. This finding places the client at risk for developing
contrast-induced nephropathy.
---------------------
Expected ranges:
Calcium (ca) 9 - 10.5 mg/dL
Sodium (Na) 136 - 145 mEq/L
Potassium (K) 3.5 - 5 mEq/L
,A nurse is reinforcing teaching about home care with a The client stops the nurse and asks for pain medication
client who had knee arthroplasty. Which of the following
factors should the nurse identify as an indication that a Rationale:
barrier to learning might be present? The nurse should identify that a client who is in pain will not be able to
concentrate, which can interfere with their ability to learn.
A nurse is caring for a client who has a acute ischemic Allow for 30 min of rest before meals.
stroke 1 day ago. Which of the following actions should
the nurse take to reduce the risk for aspirations? Rationale:
The nurse should allow the client to rest for 30 min before meals to prevent
aspiration.
A nurse is contributing to the plan of care for a client who Encourage the client to complete ADLs.
has multiple sclerosis and is taking dantrolene to manage
muscle spasms. Which of the following interventions Rationale:
should the nurse include? The nurse should encourage the client to complete ADLs and provide assistance
as needed. Performing self-care increases the client's independence, strength,
and level of functioning.
A nurse is reinforcing about joint protection with a clietn Apply cold packs to the inflamed joints
who has an acute exacerbation of rheumatoid arthritis.
Which of the following information should the nurse Rationale: The nurse should instruct the client to use both warm and cold packs
include in the teaching? on inflamed joints to decrease pain.
-----------------
The nurse should instruct the client to participate in low-impact aerobic exercises,
which will not inflame the client's joints.
The nurse should instruct the client to carry a shoulder bag, which places the
stress on larger muscles.
The nurse should instruct the client to sleep on a firm mattress to support their
joints.
A nurse is caring for a client who is schedules for surgery Determine the client's understanding of the procedure.
and is experiencing anxiety. Which of the following
interventions should the nurse identify as the priority? Rationale: When using the nursing process, the first action the nurse should take is
to collect data from the client. Therefore, the nurse should determine the client's
understanding of the procedure to reinforce necessary teaching, which can help
manage their anxiety.
, A nurse is caring for a client who reports stomatitis. Eat soft foods.
Which of the following dietary recommendations should
the nurse make? Rationale:
The nurse should instruct a client who has stomatitis to eat soft, nonirritating
foods to decrease irritation to the oral mucosa.
-----------------
Instruct the client to avoid seasoning foods with salt or spices that can irritate the
oral mucosa.
Instruct the client to eat foods that are high in protein and calories to increase
their caloric intake and nutrition.
Instruct the client to choose foods that are a lukewarm or cool temperature to
prevent irritation of the client's oral mucosa.
A nurse is planning to implement droplet precautions for Apply a mask on the client if transport is needed.
a client who has manifestations of pertussis. Which of teh
following interventions should the nurse include when Raitonale:
contributing to the plan of care? The nurse should apply a mask to a client who has manifestations of pertussis
during transport to prevent exposure to others.
A nurse is assisting a client who reports difficulty falling Listen to soft music before sleeping.
asleep. Which of the following activities should the nurse
recommend to promote sleep? Rationale:
Listening to soft music can help the client to relax and reduces environmental
stressors.
A nurse is contributing to the plan of care for a client who Implement recommendation from the speech language pathologist.
is having difficulty eating following a stroke. Which of the
following actions should the nurse take first? Rationale:
The greatest risk to the client following a stroke is injury from aspiration. Therefore,
the first intervention the nurse should include in the plan of care is to implement
recommendations from the speech language pathologist. A speech language
pathologist can conduct a swallow study to determine the client's risk for
aspiration, provide teaching to the client regarding swallowing techniques, and
recommend the consistency of foods and liquids for the client.
A nurse is assisting in the plan of care regarding bowel Determine the client's daily elimination habits.
retraining for a client who has acervical spinal cord injury.
Which of the following interventions should the nurse Rationale:
plan to implement first? The first action the nurse should take when using the nursing process is to collect
data on the client's daily bowel elimination habits to establish a routine defecation
time.
A nurse is preparing to auscultate the bowel sounds of a Hyperactive bowel sounds.
client who has a mechanical bowel obstruction in the
descending colon. When listening in the left upper Rationale:
quadrant, the nurse should identify this sound as which of A mechanical bowel obstruction prevents a portion or all of the bowel contents
the following? from moving forward through the bowel. The nurse should expect to auscultate
high-pitched, hyperactive bowel sounds above the point of the intestinal
obstruction as the intestines attempt to propel the blockage forward.
ATI PN Med Surg
Save
Students also studied
Gerontology ATI PN ADULT MED SURG PROCTO... Exam 2 (Chapter 4, 5, 7, 10, 14, 17) Fluid an
97 terms Teacher 91 terms 308 terms Teacher
C428349 Preview Carolyn_Nyawira Preview marrininnis Preview Gin
A nurse is participating in a health fair for older adult Herpes zoster
clients. Which of the following vaccines should the nurse
recommend for this age group? Rationale:
The nurse should recommend the herpes zoster vaccine for adults who are 60
years of age and older.
--------------
The nurse should recommend the meningococcal vaccine to college students
and military recruits who are living in shared housing.
The nurse should recommend the HPV vaccine for clients who are 9 to 26 years of
age.
The nurse should recommend the MMR vaccine to clients who are 62 years of
age.
A nurse is reviewing the laboratory results of a client who Creatinine 1.9 mg/dL
is scheduled for a CT scan with an IV contrast agent.
Which of the following laboratory findings should the Rationale:
nurse report to the provider prior to the procedures? Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the
nurse should report the finding to the provider before the client has a CT scan
with an IV contrast agent. This finding places the client at risk for developing
contrast-induced nephropathy.
---------------------
Expected ranges:
Calcium (ca) 9 - 10.5 mg/dL
Sodium (Na) 136 - 145 mEq/L
Potassium (K) 3.5 - 5 mEq/L
,A nurse is reinforcing teaching about home care with a The client stops the nurse and asks for pain medication
client who had knee arthroplasty. Which of the following
factors should the nurse identify as an indication that a Rationale:
barrier to learning might be present? The nurse should identify that a client who is in pain will not be able to
concentrate, which can interfere with their ability to learn.
A nurse is caring for a client who has a acute ischemic Allow for 30 min of rest before meals.
stroke 1 day ago. Which of the following actions should
the nurse take to reduce the risk for aspirations? Rationale:
The nurse should allow the client to rest for 30 min before meals to prevent
aspiration.
A nurse is contributing to the plan of care for a client who Encourage the client to complete ADLs.
has multiple sclerosis and is taking dantrolene to manage
muscle spasms. Which of the following interventions Rationale:
should the nurse include? The nurse should encourage the client to complete ADLs and provide assistance
as needed. Performing self-care increases the client's independence, strength,
and level of functioning.
A nurse is reinforcing about joint protection with a clietn Apply cold packs to the inflamed joints
who has an acute exacerbation of rheumatoid arthritis.
Which of the following information should the nurse Rationale: The nurse should instruct the client to use both warm and cold packs
include in the teaching? on inflamed joints to decrease pain.
-----------------
The nurse should instruct the client to participate in low-impact aerobic exercises,
which will not inflame the client's joints.
The nurse should instruct the client to carry a shoulder bag, which places the
stress on larger muscles.
The nurse should instruct the client to sleep on a firm mattress to support their
joints.
A nurse is caring for a client who is schedules for surgery Determine the client's understanding of the procedure.
and is experiencing anxiety. Which of the following
interventions should the nurse identify as the priority? Rationale: When using the nursing process, the first action the nurse should take is
to collect data from the client. Therefore, the nurse should determine the client's
understanding of the procedure to reinforce necessary teaching, which can help
manage their anxiety.
, A nurse is caring for a client who reports stomatitis. Eat soft foods.
Which of the following dietary recommendations should
the nurse make? Rationale:
The nurse should instruct a client who has stomatitis to eat soft, nonirritating
foods to decrease irritation to the oral mucosa.
-----------------
Instruct the client to avoid seasoning foods with salt or spices that can irritate the
oral mucosa.
Instruct the client to eat foods that are high in protein and calories to increase
their caloric intake and nutrition.
Instruct the client to choose foods that are a lukewarm or cool temperature to
prevent irritation of the client's oral mucosa.
A nurse is planning to implement droplet precautions for Apply a mask on the client if transport is needed.
a client who has manifestations of pertussis. Which of teh
following interventions should the nurse include when Raitonale:
contributing to the plan of care? The nurse should apply a mask to a client who has manifestations of pertussis
during transport to prevent exposure to others.
A nurse is assisting a client who reports difficulty falling Listen to soft music before sleeping.
asleep. Which of the following activities should the nurse
recommend to promote sleep? Rationale:
Listening to soft music can help the client to relax and reduces environmental
stressors.
A nurse is contributing to the plan of care for a client who Implement recommendation from the speech language pathologist.
is having difficulty eating following a stroke. Which of the
following actions should the nurse take first? Rationale:
The greatest risk to the client following a stroke is injury from aspiration. Therefore,
the first intervention the nurse should include in the plan of care is to implement
recommendations from the speech language pathologist. A speech language
pathologist can conduct a swallow study to determine the client's risk for
aspiration, provide teaching to the client regarding swallowing techniques, and
recommend the consistency of foods and liquids for the client.
A nurse is assisting in the plan of care regarding bowel Determine the client's daily elimination habits.
retraining for a client who has acervical spinal cord injury.
Which of the following interventions should the nurse Rationale:
plan to implement first? The first action the nurse should take when using the nursing process is to collect
data on the client's daily bowel elimination habits to establish a routine defecation
time.
A nurse is preparing to auscultate the bowel sounds of a Hyperactive bowel sounds.
client who has a mechanical bowel obstruction in the
descending colon. When listening in the left upper Rationale:
quadrant, the nurse should identify this sound as which of A mechanical bowel obstruction prevents a portion or all of the bowel contents
the following? from moving forward through the bowel. The nurse should expect to auscultate
high-pitched, hyperactive bowel sounds above the point of the intestinal
obstruction as the intestines attempt to propel the blockage forward.
