ATI PN Medical-Surgical- Final Exam.
, A nurse is reinforcing discharge teaching with a client who has a new diagnosis of
systemic lupus erythematosus (SLE). Which of the following statements by the client
indicates an understanding of the teaching?
"I should take ibuprofen for my joint pain."
(It affects the skin as well as joints, organs, and any structure in the body that contains
connective tissue.)
A nurse is monitoring a client following a thyroidectomy. Which of the following findings
should the nurse identify as an indication of hypoparathyroidism?
Involuntary muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy.
Muscle twitching and paresthesias can result due to decreased parathyroid hormone
levels and calcium deficiency.)
A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following statements by the client indicates an understanding
of the teaching?
"I should check my heart rate each day."•
A nurse is reinforcing discharge teaching about improving gas exchange with a client
who has emphysema. Which of the following information should the nurse include in the
teaching?
Use pursed-lip breathing during periods of dyspnea.
A nurse is reinforcing teaching with a client who has a new diagnosis of multiple
sclerosis (MS). The client asks the nurse about the usual course of MS. Which of the
following responses should the nurse make?
"Acute episodes are usually followed by remissions, which can last varying lengths of
time."
A nurse is preparing to administer timolol eye drops for a client who has glaucoma.
When instilling the medication, which of the following actions should the nurse take?
Apply pressure to the bridge of the nose after instillation of the medication.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When
preparing to irrigate the wound, which of the following actions should the nurse take rst?
Check the client's pain level
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a
chair at the bedside. Which of the following actions should the nurse take first?
Lower the client to the floor.
/
, A nurse is reinforcing discharge teaching with a client who has a new diagnosis of
systemic lupus erythematosus (SLE). Which of the following statements by the client
indicates an understanding of the teaching?
"I should take ibuprofen for my joint pain."
(It affects the skin as well as joints, organs, and any structure in the body that contains
connective tissue.)
A nurse is monitoring a client following a thyroidectomy. Which of the following findings
should the nurse identify as an indication of hypoparathyroidism?
Involuntary muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy.
Muscle twitching and paresthesias can result due to decreased parathyroid hormone
levels and calcium deficiency.)
A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following statements by the client indicates an understanding
of the teaching?
"I should check my heart rate each day."•
A nurse is reinforcing discharge teaching about improving gas exchange with a client
who has emphysema. Which of the following information should the nurse include in the
teaching?
Use pursed-lip breathing during periods of dyspnea.
A nurse is reinforcing teaching with a client who has a new diagnosis of multiple
sclerosis (MS). The client asks the nurse about the usual course of MS. Which of the
following responses should the nurse make?
"Acute episodes are usually followed by remissions, which can last varying lengths of
time."
A nurse is preparing to administer timolol eye drops for a client who has glaucoma.
When instilling the medication, which of the following actions should the nurse take?
Apply pressure to the bridge of the nose after instillation of the medication.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When
preparing to irrigate the wound, which of the following actions should the nurse take rst?
Check the client's pain level
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a
chair at the bedside. Which of the following actions should the nurse take first?
Lower the client to the floor.
/
