ATI Med Surg Practice A 2020 with rationales

Document Content and Description Below

ATI Med Surg Practice A 2020 with rationales A nurse is reinforcing teaching with a client who has mitral valve disease. Which of following statements by the client indicates an understanding of th... e disease process? A. "I should call my doctor if I get a headache." B. "I might develop gastric reflux." C. "I might develop excessive bruising." D. "I should call my doctor if my ankles swell." D. "I should call my doctor if my ankles swell." RAT: Swelling of the ankles can indicate heart failure. The client should report this finding to the provider. -A provider might prescribe anticoagulants to prevent thrombus formation on the valve, which can cause excessive bruising for a client who has mitral valve disease. However, excessive bruising is not a direct result of the disease. A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? A. Apply cold packs to the inflamed joints. B. Participate in high-impact exercise. C. Carry a hand purse rather than a shoulder bag. D. Sleep on a soft foam mattress. A. Apply cold packs to the inflamed joints. RAT: The nurse should instruct the client to use both warm and cold packs on inflamed joints to decrease pain. A nurse is collecting data from who has hypothyroidism. Which of the following manifestations should the nurse anticipate? A. Blurred vision B. Insomnia C. Bradycardia D. Weight loss C. Bradycardia -The nurse should identify that blurred vision is a manifestation of hyperthyroidism -The nurse should identify that insomnia is a manifestation of hyperthyroidism that is caused by an increase in the client's metabolic rate. -The nurse should identify that weight loss is a manifestation of hyperthyroidism caused by an increase in the client's metabolic rate. RAT: The nurse should identify that bradycardia is a manifestation of hypothyroidism that is caused by a decrease in the client's metabolic r [Show More]

Last updated: 1 year ago

Preview 1 out of 89 pages