ATI NUR265 || with Complete Solution.
A nurse is caring for a client who is 24 hours postop following a total hip arthroplasty. Which of
the following action should the nurse take? correct answers Maintain abduction of the affected
extremity
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the teaching? correct answers "You will not be
able to eat or drink after the procedure until you are able to cough."
- A client who had a bronchoscopy received a local anesthetic that can suppress the cough reflex.
The cough reflex protects the client from aspirating fluids or food. Therefore, the client should
not eat or drink until the cough reflex returns.
A nurse is assessing a clients understanding of a surgical procedure prior to witnessing their
signature on the informed consent form. The nurse determines that the client does not understand
what the procedure will involve. Which of the following action should the nurse take? correct
answers Contact the provider who will be performing the procedure
A nurse is providing discharge teaching to a client who has COPD. Which of the following
instruction should the nurse include in the teaching? correct answers Consume a diet that is high
in calories
A nurse is providing teaching about dietary options for a client who has cholithiasis which of the
following statements should the nurse include in the teaching correct answers Select desserts,
such as angel food cake
A nurse is monitoring a client who has a traumatic brain injury, which of the following findings
should the nurse identify as a manifestation of Cushing's triad correct answers Increase in blood
pressure from 130/80 to 180/100
, A nurse is teaching a client who has a new diagnosis of type one diabetes mellitus, which of the
following statement by the client indicates an understanding of the teaching correct answers I am
aware that my diabetes is caused by an auto immune disorder
A nurse is caring for a client who has a small bowel obstruction and an NG tube in place which
of the following action should the nurse take correct answers Maintain low intermittent suction
A nurse is assessing a client who has a chest tube connected to a closed water seal drainage
system which of the following findings should the nurse report to the provider correct answers
CONSTANT BUBBLING IN THE WATER SEAL CHAMBER.
- Constant bubbling in the water seal chamber can be an indication of an air leak, which is
caused by a disruption in the system such as a loose connection. Pulmonary air leaks create
intermittent bubbling that is synchronous with respiration. This finding should be reported to the
provider immediately.
A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy,
which of the following client statements, indicates an understanding of the teaching? Select all
that apply. correct answers I will avoid crowds, and I will take my temperature daily
I nurse is preparing to administer propranolol to several clients. For which of the following
clients to the nurse clarify the prescription with the provider before administration. correct
answers A client has a history of asthma
Nurses analyzing the ABG results of a client who is in respiratory acidosis, which of the
following mechanisms to the nurse, identify as responsible for this acid-base imbalance correct
answers Retention of carbon dioxide
A nurse is planning care for a client who is tuberculosis which of the following precautions
should the nurse implement for this client correct answers Airborne precautions
A nurse is caring for a client who is 24 hours postop following a total hip arthroplasty. Which of
the following action should the nurse take? correct answers Maintain abduction of the affected
extremity
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the teaching? correct answers "You will not be
able to eat or drink after the procedure until you are able to cough."
- A client who had a bronchoscopy received a local anesthetic that can suppress the cough reflex.
The cough reflex protects the client from aspirating fluids or food. Therefore, the client should
not eat or drink until the cough reflex returns.
A nurse is assessing a clients understanding of a surgical procedure prior to witnessing their
signature on the informed consent form. The nurse determines that the client does not understand
what the procedure will involve. Which of the following action should the nurse take? correct
answers Contact the provider who will be performing the procedure
A nurse is providing discharge teaching to a client who has COPD. Which of the following
instruction should the nurse include in the teaching? correct answers Consume a diet that is high
in calories
A nurse is providing teaching about dietary options for a client who has cholithiasis which of the
following statements should the nurse include in the teaching correct answers Select desserts,
such as angel food cake
A nurse is monitoring a client who has a traumatic brain injury, which of the following findings
should the nurse identify as a manifestation of Cushing's triad correct answers Increase in blood
pressure from 130/80 to 180/100
, A nurse is teaching a client who has a new diagnosis of type one diabetes mellitus, which of the
following statement by the client indicates an understanding of the teaching correct answers I am
aware that my diabetes is caused by an auto immune disorder
A nurse is caring for a client who has a small bowel obstruction and an NG tube in place which
of the following action should the nurse take correct answers Maintain low intermittent suction
A nurse is assessing a client who has a chest tube connected to a closed water seal drainage
system which of the following findings should the nurse report to the provider correct answers
CONSTANT BUBBLING IN THE WATER SEAL CHAMBER.
- Constant bubbling in the water seal chamber can be an indication of an air leak, which is
caused by a disruption in the system such as a loose connection. Pulmonary air leaks create
intermittent bubbling that is synchronous with respiration. This finding should be reported to the
provider immediately.
A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy,
which of the following client statements, indicates an understanding of the teaching? Select all
that apply. correct answers I will avoid crowds, and I will take my temperature daily
I nurse is preparing to administer propranolol to several clients. For which of the following
clients to the nurse clarify the prescription with the provider before administration. correct
answers A client has a history of asthma
Nurses analyzing the ABG results of a client who is in respiratory acidosis, which of the
following mechanisms to the nurse, identify as responsible for this acid-base imbalance correct
answers Retention of carbon dioxide
A nurse is planning care for a client who is tuberculosis which of the following precautions
should the nurse implement for this client correct answers Airborne precautions
