ATI MED SURGE PROCTORED EXAM

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1. A nurse is caring for a client following a bone marrow biopsy. What information should the nurse include in the discharge education? -Keep dressing clean and dry to prevent infection -Watch for... bleeding and if notice excessive bleeding report to provider -Remind pt avoid aspirin or medications that would prevent clotting 2. A nurse is providing client education regarding modes of hepatitis transmission. What are the routes of transmission and risk factors for Hepatitis A, B, C, D and E? -Hep A transmission by fecal-oral. Risk=consumption of contaminated food/water (esp. shellfish) and close contact with an infected person -Hep B transmission by blood. Risk=unprotected sex, babies born from infected mothers, contact with infected blood, substance abuse (injected) -Hep C transmission by blood. Risk=substance abuse (injected), blood/blood products, transplants, needle sticks. -Hep D transmission by coinfection with HBV. Risk=substance abuse (injected), unprotected sex -Hep E transmission by fecal-oral. Risk=Consumption of contaminated food/water that has fecal waste in it. 3. What are three (3) risk factors for testicular cancer? List three (3) subjective and objective findings in the client with testicular cancer? -Risk Factors-Male gender age 20-35 years old, HIV, undescended testis. -Subjective findings-swelling/lump in testis, indication of metastases such as gynecomastia and back pain. -Objective findings-swollen lymph nodes in groin area, palpable lump by LIP, enlarged testis without presence of pain. 4. What dietary education should the nurse provide to a client diagnosed with a hiatal hernia? -Avoid fatty, fried foods, coffee and caffeinated beverages, spicy foods, citrus fruits, acidic vegetables such as tomatoes, and ETOH. A+ 5. A nurse is caring for a client with chronic gastritis. Provide three (3) dietary recommendations the nurse should include in client education? -Eat small frequent meals, eat slowly, avoid food and beverages that cause gastric irritation, decrease consumption or eliminate caffeine and ETOH. 6. A nurse is caring for a client who has been admitted with renal calculi. List three (3) interventions the nurse will take in the management of renal calculi. -Strain urine to monitor for passing of calculi -Monitor intake/output of urine -Administer pain meds/NSAIDS/antibiotics/spasmolytics as ordered 7. A nurse has provided education to a client regarding the correct way to take prescribed nitroglycerin for the treatment of angina. Which of the following client statements indicates a need for further education -"If I still have pain after 5 minutes I will take two more tablets." 8. A nurse is caring for a client with Rheumatoid arthritis who is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for the treatment of joint pain. Provide three (3) teaching points in client education the nurse should provide regarding this medication therapy. -Take with food or a full glass of water/milk -Teach pt to monitor for GI bleeding ad report dark emesis and tarry stools -Avoid ETOH 9. A nurse is caring for a client experiencing metabolic acidosis. What are three (3) causes of metabolic acidosis? -Excess production of hydrogen ions/increased H3 concentration -Excess elimination of bicarbonate/diarrhea -Inadequate production of bicarbonate/decreased Hco3 10. A nurse is caring for a client with pneumonia. What are three (3) physical assessment findings that are [Show More]

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