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ATI Capstone MS Assessment 2 | | questions and
answers | latest update
Save
Terms in this set (67)
A nurse is a caring for client who is Place the client prone for 20 min every 3 hr. (reduce
postoperative following a below- risk for hip contractures)
the-knee amputation. Which of the
following actions should the nurse
take
A nurse is caring for a client who has Keep a suction apparatus at the bedside, Keep the
a history of tonic-clonic seizures. bed in the lowest position., Keep oxygen equipment
Which of the following precautions at the bedside.
should the nurse take (Select all that
apply.)
A nurse is creating a plan of care for Keep the client's environment dark and quiet.
a client who has meningitis. Which of
the following interventions should
the nurse include
A nurse is receiving a report on a A client who has a systemic infection and an oral
group of clients. Which of the temperature of 39.1° C (102.4°
following clients should the nurse
assess first
,A nurse is discussing risk factors for A client who has recently done volunteer work in a
hepatitis A with a newly licensed developing country
nurse. Which of the following clients
should the nurse identify as being at (Hepatitis A is most frequently acquired through
an increased risk for hepatitis A infected water or food sources. These conditions
are often found in developing countries.)
A nurse is initiating a plan of care for Educate the client on pursed-lip breathing.
a client who has COPD. Which of the
following interventions should the
nurse include
A nurse is reviewing a client's medical Hypokalemia
record prior to administering
furosemide via IV bolus to a client
who has heart failure. For which of
the following findings should the
nurse withhold the medication and
notify the provider
A nurse is caring for a client who has pH 7.25, HCOg* 20 mEq/L, PaCOz 35 mm Hg
renal failure. Which of the following
arterial blood gas (ABG) results (A client who has renal failure will manifest
should the nurse expect metabolic acidosis (low HCO3-, low pH) related to
an inability of the renal tubules to secrete hydrogen
ions and a decrease in bicarbonate levels. In
response, the client's respiratory system attempts to
compensate through hyperventilation to reduce
PaCO2. Expected reference ranges for ABG
findings include the following: pH 7.35 to 7.45,
HCO3- 22 to 26 mEq/L, and PaCO2 35 to 45 mm
Hg.)
, A nurse is providing teaching for a "Avoid eating aged cheeses or smoked meats while
client who has Parkinson's disease taking this medication."
and a new prescription for selegiline.
Which of the following statements
should the nurse include
A nurse is instructing a client's "I will sit him up in bed."
caregiver on how to position the
client before administering tube
feedings in the home. Which of the
following statements by the
caregiver demonstrates an
understanding of the teaching
A nurse is providing teaching to a "Stress can activate an outbreak."
client who has a new onset of genital
herpes. Which of the following
statements should the nurse include
in the teaching
A nurse is teaching a client who has "Watch for a decreased heart rate while using this
glaucoma and is to start taking medication."
timolol. Which of the following
information should the nurse include
A nurse is caring for a client who is Monitor blood pressure.
postoperative immediately following
a pheochromocytoma removal.
Which of the following actions is the
nurse's priority
ATI Capstone MS Assessment 2 | | questions and
answers | latest update
Save
Terms in this set (67)
A nurse is a caring for client who is Place the client prone for 20 min every 3 hr. (reduce
postoperative following a below- risk for hip contractures)
the-knee amputation. Which of the
following actions should the nurse
take
A nurse is caring for a client who has Keep a suction apparatus at the bedside, Keep the
a history of tonic-clonic seizures. bed in the lowest position., Keep oxygen equipment
Which of the following precautions at the bedside.
should the nurse take (Select all that
apply.)
A nurse is creating a plan of care for Keep the client's environment dark and quiet.
a client who has meningitis. Which of
the following interventions should
the nurse include
A nurse is receiving a report on a A client who has a systemic infection and an oral
group of clients. Which of the temperature of 39.1° C (102.4°
following clients should the nurse
assess first
,A nurse is discussing risk factors for A client who has recently done volunteer work in a
hepatitis A with a newly licensed developing country
nurse. Which of the following clients
should the nurse identify as being at (Hepatitis A is most frequently acquired through
an increased risk for hepatitis A infected water or food sources. These conditions
are often found in developing countries.)
A nurse is initiating a plan of care for Educate the client on pursed-lip breathing.
a client who has COPD. Which of the
following interventions should the
nurse include
A nurse is reviewing a client's medical Hypokalemia
record prior to administering
furosemide via IV bolus to a client
who has heart failure. For which of
the following findings should the
nurse withhold the medication and
notify the provider
A nurse is caring for a client who has pH 7.25, HCOg* 20 mEq/L, PaCOz 35 mm Hg
renal failure. Which of the following
arterial blood gas (ABG) results (A client who has renal failure will manifest
should the nurse expect metabolic acidosis (low HCO3-, low pH) related to
an inability of the renal tubules to secrete hydrogen
ions and a decrease in bicarbonate levels. In
response, the client's respiratory system attempts to
compensate through hyperventilation to reduce
PaCO2. Expected reference ranges for ABG
findings include the following: pH 7.35 to 7.45,
HCO3- 22 to 26 mEq/L, and PaCO2 35 to 45 mm
Hg.)
, A nurse is providing teaching for a "Avoid eating aged cheeses or smoked meats while
client who has Parkinson's disease taking this medication."
and a new prescription for selegiline.
Which of the following statements
should the nurse include
A nurse is instructing a client's "I will sit him up in bed."
caregiver on how to position the
client before administering tube
feedings in the home. Which of the
following statements by the
caregiver demonstrates an
understanding of the teaching
A nurse is providing teaching to a "Stress can activate an outbreak."
client who has a new onset of genital
herpes. Which of the following
statements should the nurse include
in the teaching
A nurse is teaching a client who has "Watch for a decreased heart rate while using this
glaucoma and is to start taking medication."
timolol. Which of the following
information should the nurse include
A nurse is caring for a client who is Monitor blood pressure.
postoperative immediately following
a pheochromocytoma removal.
Which of the following actions is the
nurse's priority
