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ATI Capstone Med Surg Assessment 2 - NURS 406 / NURS406
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ATI Capstone Med Surg Assessment 2 - NURS 406 / NURS406
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ATI Capstone Med Surg Assessment 21. a nurse is planning care for a client who has Meniere's disease and his experiencing episodes
of vertical. which of Following intervention 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.
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