NURSING INTERVENTION ATI Exam
Q&A 100% Solved
A nurse is reinforcing teaching to a client who is scheduled for an
intravenous urography. Which of the following should the nurse include in
her teaching?
1. Omit your daily dose of aspirin
2. Take a laxative the evening before the procedure
3. Expect to be drowsy for 24 hr following the procedure
4. Eat a fat-free dinner - ✔✔2. Take a laxative the evening before the
procedure
An intravenous urography is a radiologic examination which uses an
intravenous injection of dye to visualize the kidneys, renal pelvis, ureters,
and bladder. The dye travels through the blood stream and collects in the
kidneys and urinary tract, making these areas opaque. This allows the
examiner to view and assess the anatomy and function of the kidneys and
lower urinary tract. Stool or gas in the bowel may make it difficult to
,visualize the renal system, so typically the bowel is cleansed the day
before.
A nurse is caring for a client who has agoraphobia and has been
prescribed alprazolam (Xanax). Which of the following should the nurse
reinforce in the discharge teaching?
1. This medication has a low risk for physical dependence.
2. Discontinue the medication immediately if pregnancy is suspected.
3. Drinking alcohol may decrease the effectiveness of the medication.
4. A common side effect is drowsiness, which will decrease with continued
use. - ✔✔4. A common side effect is drowsiness, which will decrease with
continued use.
Alprazolam is a benzodiazepine used to treat anxiety disorders. Like all
benzodiazepines, the most common side effects reported for alprazolam
are central nervous system depressant effects, such as drowsiness.
A nurse is reinforcing client teaching regarding appropriate dietary choices
for celiac disease. Which of the following menu choices selected by the
client indicates an understanding of the teaching?
,1. Hamburger on a white flour bun
2. Baked chicken and potato chips
3. Bacon, lettuce, and tomato sandwich on rye toast
4. Beef and barley soup with rice crackers - ✔✔2. Baked chicken and
potato chips
This is an appropriate choice for a client with celiac disease, a
malabsorption condition in which the client is unable to properly digest any
food containing gluten. The client must eliminate all sources of gluten from
the diet including barley, rye, oats, and wheat.
A nurse is reinforcing teaching with a young adult female client who has
been prescribed lisinopril (Zestril). Which of the following instructions
should the nurse plan to include? (Select all that apply)
1. "Report the development of a persistent dry cough."
2. "Monitor your blood pressure on a regular basis."
3. "Notify your doctor immediately if you become pregnant."
4. "Check your weight at the same time every day."
5. "Make sure your diet contains a lot of potassium-rich foods." - ✔✔1.
"Report the development of a persistent dry cough."
, 2. "Monitor your blood pressure on a regular basis."
3. "Notify your doctor immediately if you become pregnant."
The development of a chronic dry cough is a common problem with the use
of ACE inhibitors and is believed to be related to the accumulation of
bradykinin. It is important that all clients be instructed to report the
development of this side effect.
Hypotension is a common side effect of lisinopril, so the client should be
instructed in how to monitor their blood pressure on a regular basis.
Lisinopril is a known teratogenic agent and may cause serious harm to a
developing fetus, subsequently lisinopril should not be taken by a woman
who is pregnant or lactating.
A nurse is collecting data regarding the pain level of a 4-year-old client on
the second postoperative day. Which of the following actions should the
nurse take?
1. Ask the client what number the pain is on a scale from 1 to 10.
2. Tell the client to point to a face on a FACES Pain Rating Scale.
3. Have the parent report the pain level for the client.
Q&A 100% Solved
A nurse is reinforcing teaching to a client who is scheduled for an
intravenous urography. Which of the following should the nurse include in
her teaching?
1. Omit your daily dose of aspirin
2. Take a laxative the evening before the procedure
3. Expect to be drowsy for 24 hr following the procedure
4. Eat a fat-free dinner - ✔✔2. Take a laxative the evening before the
procedure
An intravenous urography is a radiologic examination which uses an
intravenous injection of dye to visualize the kidneys, renal pelvis, ureters,
and bladder. The dye travels through the blood stream and collects in the
kidneys and urinary tract, making these areas opaque. This allows the
examiner to view and assess the anatomy and function of the kidneys and
lower urinary tract. Stool or gas in the bowel may make it difficult to
,visualize the renal system, so typically the bowel is cleansed the day
before.
A nurse is caring for a client who has agoraphobia and has been
prescribed alprazolam (Xanax). Which of the following should the nurse
reinforce in the discharge teaching?
1. This medication has a low risk for physical dependence.
2. Discontinue the medication immediately if pregnancy is suspected.
3. Drinking alcohol may decrease the effectiveness of the medication.
4. A common side effect is drowsiness, which will decrease with continued
use. - ✔✔4. A common side effect is drowsiness, which will decrease with
continued use.
Alprazolam is a benzodiazepine used to treat anxiety disorders. Like all
benzodiazepines, the most common side effects reported for alprazolam
are central nervous system depressant effects, such as drowsiness.
A nurse is reinforcing client teaching regarding appropriate dietary choices
for celiac disease. Which of the following menu choices selected by the
client indicates an understanding of the teaching?
,1. Hamburger on a white flour bun
2. Baked chicken and potato chips
3. Bacon, lettuce, and tomato sandwich on rye toast
4. Beef and barley soup with rice crackers - ✔✔2. Baked chicken and
potato chips
This is an appropriate choice for a client with celiac disease, a
malabsorption condition in which the client is unable to properly digest any
food containing gluten. The client must eliminate all sources of gluten from
the diet including barley, rye, oats, and wheat.
A nurse is reinforcing teaching with a young adult female client who has
been prescribed lisinopril (Zestril). Which of the following instructions
should the nurse plan to include? (Select all that apply)
1. "Report the development of a persistent dry cough."
2. "Monitor your blood pressure on a regular basis."
3. "Notify your doctor immediately if you become pregnant."
4. "Check your weight at the same time every day."
5. "Make sure your diet contains a lot of potassium-rich foods." - ✔✔1.
"Report the development of a persistent dry cough."
, 2. "Monitor your blood pressure on a regular basis."
3. "Notify your doctor immediately if you become pregnant."
The development of a chronic dry cough is a common problem with the use
of ACE inhibitors and is believed to be related to the accumulation of
bradykinin. It is important that all clients be instructed to report the
development of this side effect.
Hypotension is a common side effect of lisinopril, so the client should be
instructed in how to monitor their blood pressure on a regular basis.
Lisinopril is a known teratogenic agent and may cause serious harm to a
developing fetus, subsequently lisinopril should not be taken by a woman
who is pregnant or lactating.
A nurse is collecting data regarding the pain level of a 4-year-old client on
the second postoperative day. Which of the following actions should the
nurse take?
1. Ask the client what number the pain is on a scale from 1 to 10.
2. Tell the client to point to a face on a FACES Pain Rating Scale.
3. Have the parent report the pain level for the client.
