2024 UPDATE
A nurse is caring for a client who is starting
hemodialysis. What effect will dialysis have on protein
levels and how will the impact protein intake for the
client? Suggested Adult Med Surg Learning Activity:
Dialysis
- Dialysis removes protein from the blood.
- Client will need to consume a diet high in
carbohydrates and moderate fat. Client will
also need to consume more protein than their
pre-dialysis diet.
A client has been newly diagnosed with Type 1
diabetes mellitus. He tells the nurse, “I don’t get it. I
exercise and eat right, and I don’t understand why I
have to give myself insulin shots and I can’t just take
pills”. What teaching can the nurse provide to this
client?
Suggested Adult Med Surg Learning Activity: Diabetes Mellitus
- Explain the disease process to the client, that
the pancreas does not produce insulin anymore.
Insulin is the hormone that regulates blood
sugar. He has to take insulin because his
pancreas does not produce it.
A home care nurse visits a client who has stage 4
metastatic lung cancer. He tells the nurse, "I don't
want any more chemotherapy or surgery. I just want
to be made comfortable". How can the nurse advocate
for this client?
Suggested Adult Med Surg Learning Activity:
Laryngeal Cancer and Lung Cancer
- The nurse can be an advocate for the client
by ensuring that they’re informed of their
rights to have adequate information based
on their health care decisions
A nurse is caring for a client who has a halo traction
device following a cervical spine injury. Discuss two
(2) relevant teaching points for when this client is
, ATI MED SURG EXAM WITH ANSWERS
2024 UPDATE
ready to be discharged home. Suggested Adult Med
Surg Learning
Activity: Immobilization Devices
- Cleanse the pins with equal parts hydrogen
peroxide and normal saline. Stroke outward,
and away from the pin.
- Hand wash soiled liners with mild soap and rinse
- Cannot drive. Eat a high fiber diet.
A nurse is caring for a client with heat stroke. List two
(2) priority nursing interventions to manage heat
stroke.