lOMoARcPSD|3920845
ATI Capstone Med-Surg Proctored Remediation 2021
A nurse is caring for a client following an infratentorial craniotomy. How should the nurse
position this client in the immediate post-operative period?
• The client should be lying flat or side-lying. The nurse should make sure to rotate
the client side to side q2hr for 24-48 hours.
A nurse is caring for a client following a bone marrow biopsy. What information should the nurse
include in the discharge education?
• Tell the client to report any excessive bleeding or infection to the provider. Teach
him/her to check the site daily and to keep the dressing clean, dry, and intact. If sutures
are in
place, return to have them removed in 7-10 days.
A nurse is providing client education regarding modes of hepatitis transmission. What are the
routes of transmission and risk factors for Hepatitis A, B, C, D and E?
• Hep A: fecal-oral; contaminated food or water, close contact with infected individual
• Hep B: blood; unprotected sex, injectable substance, contact with infected blood
• Hep C: blood; injectable substance, blood or transplants, sexual contact
• Hep D: coinfection with HBV; injectable substance, unprotected sex
• Hep E: fecal-oral; ingestion of contaminated food or water with fecal material
What are three (3) risk factors for testicular cancer? List three (3) subjective and objective
findings in the client with testicular cancer?
1. (C)hange in bowel or bladder habits
2. (A) sore that doesn’t heal
3. (U)nusual bleeding or discharge
4. (T)hickening or lump in the testicles
a. O - Fatigue, anorexia, or other altered functions
b. O - Weight loss, or mass that develops
c. S - Pain, nausea,
What dietary education should the nurse provide to a client diagnosed with a hiatal hernia?
• The client should avoid eating close to bedtime. Avoid fatty/acidic foods, chocolate,
coffee, peppermint, spicy foods, tomatoes, citrus fruits, or alcohol. Exercise regularly
and maintain a healthy weight. Avoid vigorous or straining exercises and avoid wearing
tight
clothing around the abdomen. Elevate HOB by about 6 inches.
A nurse is providing education regarding risk factors for gout. What information should be
provided?
• Risk factors for gout include: Obesity, CVD, trauma, alcohol ingestion, starvation
dieting, diuretic use, some chemotherapies, and chronic kidney failure.
A nurse is caring for a client with Rheumatoid arthritis who is prescribed a non-steroidal anti-
inflammatory drug (NSAID) for the treatment of joint pain. Provide three (3) teaching points in
client education the nurse should provide regarding this medication therapy.
1. Medication should be taken with food or a full glass of water or milk
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, lOMoARcPSD|3920845
2. Observe for GI bleeding; either coffee-ground vomiting or black, tarry stool
3. Avoid alcohol; can increase the risk of GI complications
Downloaded by simon njuguna
()
ATI Capstone Med-Surg Proctored Remediation 2021
A nurse is caring for a client following an infratentorial craniotomy. How should the nurse
position this client in the immediate post-operative period?
• The client should be lying flat or side-lying. The nurse should make sure to rotate
the client side to side q2hr for 24-48 hours.
A nurse is caring for a client following a bone marrow biopsy. What information should the nurse
include in the discharge education?
• Tell the client to report any excessive bleeding or infection to the provider. Teach
him/her to check the site daily and to keep the dressing clean, dry, and intact. If sutures
are in
place, return to have them removed in 7-10 days.
A nurse is providing client education regarding modes of hepatitis transmission. What are the
routes of transmission and risk factors for Hepatitis A, B, C, D and E?
• Hep A: fecal-oral; contaminated food or water, close contact with infected individual
• Hep B: blood; unprotected sex, injectable substance, contact with infected blood
• Hep C: blood; injectable substance, blood or transplants, sexual contact
• Hep D: coinfection with HBV; injectable substance, unprotected sex
• Hep E: fecal-oral; ingestion of contaminated food or water with fecal material
What are three (3) risk factors for testicular cancer? List three (3) subjective and objective
findings in the client with testicular cancer?
1. (C)hange in bowel or bladder habits
2. (A) sore that doesn’t heal
3. (U)nusual bleeding or discharge
4. (T)hickening or lump in the testicles
a. O - Fatigue, anorexia, or other altered functions
b. O - Weight loss, or mass that develops
c. S - Pain, nausea,
What dietary education should the nurse provide to a client diagnosed with a hiatal hernia?
• The client should avoid eating close to bedtime. Avoid fatty/acidic foods, chocolate,
coffee, peppermint, spicy foods, tomatoes, citrus fruits, or alcohol. Exercise regularly
and maintain a healthy weight. Avoid vigorous or straining exercises and avoid wearing
tight
clothing around the abdomen. Elevate HOB by about 6 inches.
A nurse is providing education regarding risk factors for gout. What information should be
provided?
• Risk factors for gout include: Obesity, CVD, trauma, alcohol ingestion, starvation
dieting, diuretic use, some chemotherapies, and chronic kidney failure.
A nurse is caring for a client with Rheumatoid arthritis who is prescribed a non-steroidal anti-
inflammatory drug (NSAID) for the treatment of joint pain. Provide three (3) teaching points in
client education the nurse should provide regarding this medication therapy.
1. Medication should be taken with food or a full glass of water or milk
Downloaded by simon njuguna
()
, lOMoARcPSD|3920845
2. Observe for GI bleeding; either coffee-ground vomiting or black, tarry stool
3. Avoid alcohol; can increase the risk of GI complications
Downloaded by simon njuguna
()
