ATI PN ADULT MEDICAL SURGICAL
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A nurse is collecting data on a client who is scheduled for BUN
a cardiac catheterization. Which of the following
laboratory levels should the nurse review prior to the Rationale:
procedure? BUN levels indicate kidney function. The nurse should review the lab level to
determine if the client can tolerate the IV contrast dye during the procedure.
A nurse is assisting in the plan of care regarding bowel Determine the client's daily elimination habits.
retraining for a client who has a cervical spinal cord injury.
Which of the following interventions should the nurse
plan to implement first?
A nurse is discussing health screening guidelines with an "You should have a pneumococcal immunization every 10 years."
older adult client. Which of the following statements
should the nurse include?
A nurse is reinforcing teaching with a client who has -"I never forget to rinse my mouth after using my budesonide inhaler."
asthma. Which of the following client statements indicates -"Between office visits, I keep a record of how many times I use my albuterol
an understanding of the ruse of budesonide and inhaler."
albuterol inhalers? SATA -"I use my albuterol inhaler before I go swimming."
A nurse in a long-term care facility is collecting data from Small liquid stools
a client who reports fullness in the rectum and abdominal
cramping. Which of the following findings should indicate
to the nurse that the client might have a fecal impaction?
A nurse is reinforcing teaching with the family of a client Change the sheepskin liner weekly
who has a cervical injury and has a halo vest in place.
Which of the following safety precautions should the
nurse include in teaching?
, A nurse in an oncology clinic is reinforcing teaching Mohs surgery is a horizontal shaving of thin layers of the tumor
about Mohs surgery with a client who has skin cancer.
Which of the following information should the nurse
include in the teaching?
A nurse is collecting data from a 55-year-old female History of treatment for blood clots
client who reports vaginal dryness and hot flashes. The
client is interested in trying hormone replacement
therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT?
A nurse is reinforcing teaching with an adolescent client "I understand that pea-sized lumps are normal."
regarding testicular self-examination. Which of the
following statements by the client demonstrates an
understanding of the teaching?
A nurse is reviewing the laboratory results of a client who Hgb 11 g/dL
has chronic kidney failure and is receiving epoetin Alfa.
The nurse should identify that which of the following
laboratory values indicates the treatment is effective?
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 procedure? 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.
A nurse is caring for a client who had an 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 aspiration?
A nurse is contributing to the plan of care for a client who Recommend a referral for a speech language pathologist.
is having difficulty eating following a stroke. Which of the
following interventions should the nurse plan to Rationale:
implement first? 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 recommend
a referral for a 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
A nurse is assisting the charge nurse with developing an Dispose of radiation implants in a lead container.
in-service about caring for clients who have internal
sealed radiation implants. Which of the following Rationale:
information should the nurse include? Lead impairs the emission of radiation. Therefore, the nurse should dispose of
radiation implants in a lead container in accordance with facility protocol.