ATI RN Adult Medical Surgical Online Practice A

A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurses priority? - tachycardia A nurse is caring for a client who is undergoing hemodialysis to treat end stage kidney disease. The client reports muscle cramps, and tingling sensation in their hands. Which of the following medications should the nurse plan to minister? - Calcium carbonate A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? - " I will monitor my blood pressure while taking this medication" - common adverse effect: hypertension A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - A client who is receiving preoperative teaching for a right knee arthroplasty A nurse is providing teaching to a female client who has a history of UTIs. Which of the following information should the nurse include in the teaching? - Take daily cranberry supplements A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - "I should take this medication with a meal." A nurse is caring for a client who is receiving total parenteral nutrition. A new bag is not available when the current infusion is nearly completed. which of the following actions should the nurse take? - Administer dextrose 10% in the water until the new bag arrives. A nurse in a community clinic is caring for a client who reports an increase in the frequency of of migraine headaches. To help reduce the risk of migraine headaches which of the following foods should the nurse recommend to avoid? - Aged cheese A nurse is preparing a client who has supra, ventricular tachycardia for elective cardioversion. Which of the following prescribe medication should the nurse instruct the client to withhold for 48 hours prior to cardioversion? - Digoxin A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following action should the nurse take first? - Initiate airborne precautions A nurse is caring for a client who has stage three pressure injury. Which of the following findings contributes to delayed wound healing? - Urine output 25ml/hr A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, the high-pressure alarm is sounding. Which of the following actions should the nurse take first? - Instruct the client to allow the machine to breathe for them. A nurse is caring for a client who has hepatic encephalopathy and is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? - Hypokalemia A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past three days. Which of the following findings should indicate to the nurse of the clients experiencing fluid volume deficit? - Heart rate 110/min A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? - Calcium A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - Ensure that the client has a patent IV. A nurse is assessing a client who has had a plaster cast applied to their left leg two hours ago. Which of the following actions should the nurse take? - Check that one finger fits between the cast in the leg. A nurse is caring for a client one hour following a cardiac catherization. The nurse notes the information of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions of the nurses priority? - Apply firm pressure to the insertion site A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? - A client should sign an informed consent before receiving a placebo during a research trial. A nurse in a providers office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - You will not be able to use sildenafil if you are taking nitroglycerin. (The client should not use sildenafil when taking nitroglycerin because both medications can cause vasodilation and lead to significant hypotension) A nurse is caring for a client who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerular nephritis? - Hyperkalemia A nurse is assessing a client who has a suspected stroke. The nurse should place the priority on which of the following findings? - Dysphagia A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following findings as an adverse effect of the medication? - orthostatic hypotension A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hours ago. Which of the following findings should the nurse expect? - Stone fragments in the urine A nurse is providing teaching to a client who has chronic kidney disease in a new prescription for erythropoietin. Which of the following statement by the client indicates an understanding of the teaching? - I am taking this medication to increase my energy level A nurse is creating a plan of care for a client who has a neutropenia as a result of chemotherapy. Which of the following intervention should the nurse include in the plan? - Monitor the clients temperature every 4 hours A nurse is evaluating a client who has a new diagnosis of type one diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - I used to never worry about my feet. now, I inspect my feet every day with a mirror. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatment for chronic kidney disease. Which of the following intervention should the nurse include in the plan? - Tell the client that it is possible to return to similar previous levels of activity A nurse is providing teaching to an older adult client who has cancer in a new prescription for opioid analgesic for pain management. Which of the following information should the nurse include in the teaching? - You should avoid every four hours to decrease the risk of urinary retention A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following action should the nurse take? - Demonstrate ways to deep breathe and cough A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the clients bedside? - Suction machine A nurse is caring for a client who has amyotrophic lateral sclerosis and is being admitted to the hospital with pneumonia. Which of the following assessment findings is the nurses priority? - Increased respiratory secretions A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations to the nurse recommend? - Add cabbage to the diet A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication of the client understands the teaching? - I will use my hands rather than a wash cloth to clean the radiation area A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory value should the nurse report to the provider? - Hgb 8 g/dL A nurse is in an ICU, assessing a client who has a traumatic brain injuries. Which of the following findings should the nurse identify as a component of cushing's triad? - Bradycardia