ATI CAPSTONE-MED SURG-ASSESSEMENT 2; complete assessment solutions

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ATI CAPSTONE-MED SURG-ASSESSEMENT 2; complete assessment solutions 1. a nurse is planning care for a client who has Meniere's disease and his experiencing episodes of vertical. which of Following inte... rvention should the nurse include in the plan of care? a. Maintain strict bed rest.------pg 75 b. Restrict fluid intake to the morning hours. c. Administer aspirin. d. Provide a low-sodium diet. 2. a nurse is assessing a client of possible exposure of HIV . Which of the following findings should the nurse identify as an early manifestation of HIV infection? a. Stomatitis b. Fatigue c. Wasting syndrome d. Lipodystroph 3. Play nurse is teaching a client about using continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea . Which of the following information should the client include in the teaching? a. It delivers a preset amount of inspiratory pressure at the beginning of each breath---------------pg 119?????? b. it has continuous adjustment feature that changes the airway pressure throughout thecycle c. it delivers a preset amount of airway pressure throughout the breathing cycle d. it delivers positive pressure at the end of each breath 4. A nurse is teaching a client about fecal cult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching? a. "Your provider will use stool from your digital rectal examination to perform the test." b. "Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the bowel." c. "You should begin annual fecal occult blood testing for colorectal cancer screening at 40 years old." d. "You should avoid taking corticosteroids prior to testing." 5. A nurse is preparing a client for a colonoscopy. Which of the following medication should the nurse anticipate the provider to prescribe as an anesthetic for the procedure? a. Propofol-----------pg 303 b. Pancuronium c. Promethazine d. Pentoxifylline 6. A nurse is teaching a client who has hypertension about dietary modifications to help control blood pressure. Which of the following food choices should the nurse recommend as a best choice for the client to include in their diet? a. 1 packet of reconstituted dry onion soup b. 3 oz of lean cured ham c. 3 oz of chicken breast d. ½ cup of canned baked beans 7. A nurse is caring for a client who has rheumatoid arthritis and has been taking Prednisone. Which of the following finding should the nurse identify as an adverse effect of this medication? a. Weight loss b. hypoglycemia c. hypertension d. hyperkalemia 8. A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of the following intervention should the nurse implement? a. Place several pillows behind the client's head b. place the client in a Sims position - per p. 83 of 2019 version, first intervention to decrease ICP is to elevate head to at least 30o c. keep the client's neck in a midline position d. maintain flexion of the client's hips at a 90 degree angle 9. A home health nurse is providing teaching to the family of a client who has a seizure disorder. Which of the following intervention should the nurse include in the teaching? a. Keep a padded tongue blade near the bedside. b. Place a pillow under the client's head while in bed during a seizure. c. Administer diazepam orally at the onset of seizures. d. Position the client on their side during a seizure.--------pg 36 10. A nurse is assessing a client who has meningitis the nurse should identify which of the following findings as a positive kernig's sign? a. After stroking the lateral area of the foot, the client's toes contract and draw together. b. After hip flexion, the client is unable to extend their leg completely without pain.-----pg 31 c. The client's voluntary movement is not coordinated. d. The client reports pain and stiffness when flexing their neck. 11. A nurse is providing discharge teaching to a client who has heart failure and a prescription for furosemide 20 mg PO two times daily. Which of the following instruction should the nurse include in the teaching? a. Monitor for increased blood pressure. b. Increase intake of high-potassium foods.--------------pg 207 c. Expect an increase in swelling in the hands and feet. d. Take the second dose at bedtime. 12. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching? a. exercise reduces the risk for hypoglycemia b. I can skip my insulin when I don't eat c. I can drink 4 ounces of soda if my blood sugar is low d. diabetic pills don't cause hypoglycemia; Only insulin does 13. A nurse in a rural community center is providing education to a group of clients about first aid interventions for snake bites to prevent further injury. Which of the following instructions should the nurse include in the teaching? a. Apply an ice pack directly to the affected area b. Immobilize the affected extremity with a splint - p. 9, 2019 c. Place tourniquet above and below the affected area d. Elevate the affected extremity 14. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following should the nurse include as a risk factor for osteoporosis? a. Early menopause b. history of falls c. African American race d. obesity 15. A nurse is reviewing the medical record of a client who has unstable angina. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data). a. Breath sounds b. Temperature c. Blood pressure d. Creatine kinase 16. A nurse is providing discharge teaching to a client who is starting to take carbidopa /levodopa to treat Parkinson's disease. Which of the following instructions should the nurse include in the teaching? a. "This medication can cause your urine to turn a dark color." b. "Expect immediate relief after taking this medication." c. "Take the medication with a high-protein food." d. "Skip a dose of the medication if you experience dizziness."-----------pg 42 17. A nurse is providing dietary teaching for a client who has chronic cholecystitis. Which of the following day each of the nurse recommend? a. Low-potassium diet b. High-fiber diet c. Low-fat diet------pg 356 d. Low-sodium diet 18. A nurse is providing teaching to a client who is scheduled for an electroencephalogram (EEG). which of the following statements by the client indicates an understanding of the teaching? a. I should not wash my hair prior to the procedure b. I will receive a sedated 1 hour before the procedure c. I should avoid eating prior to the procedure d. I will be exposed to flashes of light during the procedure-------------------PG 18 2016 VERSION 19. A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching? a. Immunosuppressant medication needs to be taken for up to 1 year b. Shortness of breath might be an indication of transplant rejection------------pg 209 c. the surgical site will heal in 3 to 4 weeks after surgery d. begin 45 min of moderate aerobic exercise per day following discharge 20. A nurse is caring for a client who has been experiencing repeated tonic clonic seizures over the course of 30 minutes. After maintaining the client's airway and turning the client on their side, which of the following medication should the nurse administer? a. Diazepam IV------pg 38 b. Lorazepam P0 c. Diltiazem IV d. Clonazepam PO 21. The nurse is providing discharge instructions to a client who has GERD. Which of the following statements by the client demonstrates an understanding of the teaching? a. I should take my medicine with orange juice b. a bedtime snack will prevent heartburn c. I will lie down after meals d. I will limit activities that require bending at the waist 22. A nurse is caring for a client who is at high risk for iron deficiency anemia. Which of the following foods should the nurse instruct the client to increase in their diet? a. Yogurt b. apples c. raisins---------------------------PER NUTRITION BOOK d. cheddar cheese 23. A nurse is caring for a client who has rights sided pneumothorax. Following chest tube [Show More]

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