ATI Med Surg Mastery Application Exercises

ATI Med Surg Mastery Application Exercises A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? Select all that apply. A. Ask the dietitian to assist with meal planning B. Contact the client's support system C. Assess for age-related cognitive awareness D. Encourage the use of a daily medication dispenser E. Provide educational materials for home use - A, B, D, E A: The nurse provides resources to strength coping abilities by asking the dietitian to assist the client with meal planning. This will improve client compliance. B: With the client's consent, the nurse can contact members of the client's support system and encourage the client to use this support during times of illness and stress to improve compliance C: Assessing the client for age-related cognitive awareness is important but it is not an appropriate intervention that enhances the client's compliance. D: The nurse encourages the use of a daily medication dispenser to reduce health risks and improve medication compliance by the client. E: The nurse provides educational materials to the client to improve health awareness and reduce health risks after discharge A nurse in a health care clinic is evaluating the level of wellness for clients using the illnesswellness continuum tool. The nurse should identify which of the following clients as being at the center of the continuum? A. A college student who has influenza B. An older adult who has a new diagnosis of type 2 diabetes mellitus C. A new mother who has a urinary tract infection D. A young male client who has a long history of well-controlled rheumatoid arthritis - D A: The client who has influenza is measured on the continuum by the level of health to illness in comparison to the norm for the client. B: The client who is newly diagnosed with type 2 diabetes mellitus is measured on the continuum by the level of health to illness in comparison to the norm for the client. C: The client who has a urinary tract infection is measured on the continuum by the level of health to illness in comparison to the norm for the client. D: The client who has well-controlled rheumatoid arthritis is measure ad the center of the continuum, which is the client's normal state of health A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. The nurse should identify which of the following variables as modifiable? (Select all that apply). A. Smoking on social occasions B. BMI of 28 C. Alopecia D. Trisomy 21 E. History of reflux - A, B, E A: The nurse identifies smoking as a modifiable variable that a client can change. The nurse should provide the client with educational materials and information on smoking cessation. B: The nurse identifies a BMI of 28 as a modifiable variable that a client can change. The nurse should provide the client with information on weight reduction and exercising. C: The nurse identifies alopecia as a non-modifiable variable because alopecia is a genetic disorder. D: The nurse identifies Trisomy 21 as a non-modifiable variable because Trisomy 21 is genetic in origin E: The nurse identifies reflux as a modifiable variable that a client can change. The nurse should provide the client with step-by-step educational information about treatment. A nurse is caring for a client who was just informed of a new diagnosis of breast cancer. The nurse evaluates the client's response. Which of the following statements by the client reflects a lack of understanding of an illness perspective? A. "I have no family history of breast cancer." B. "I need a second opinion. There is no lump." C. "I am glad we live in the city near several large hospitals." D. "I will schedule surgery next week, over the holidays." - B. A: The client's lack of family history of cancer can influence the client's response to the new diagnosis, but it does not reflect a lack of understanding of an illness perspective. B: The client's statement of denial reflects a lack of understanding of the illness perspective and can influence the client's acceptance of the diagnosis. C: Access to health care resources can influence the client's response to the new diagnosis, but it does not reflect a lack of understanding of an illness perspective D: Time constraints can influence a client's response to the diagnosis, but it does not reflect a lack of understanding of an illness perspective. A nurse on a medical-surgical unit is caring for a group of clients. The nurse should notify the rapid response team for which of the following clients? A. Client who has a pressure injury of the right heel whose blood glucose is 300 mg/dL B. Client who reports right calf pain and shortness of breath C. Client who has blood on a pressure dressing in the f