Exam (elaborations)
Med surg exam 3 ATI practice questions w/ rationales questions and answers correct and verified 100%
Med surg exam 3 ATI practice questions w/ rationales questions and answers correct and verified 100%Med surg exam 3 ATI practice questions w/ rationales questions and answers correct and verified 100%
A nurse is providing discharge instructions for a client following cataract surgery with inse...
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Med surg exam 3 ATI practice questions
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Abvnursebvisbvprovidingbvdischargebvinstructionsbvforbvabvclientbvfollowingbvcataractbvsurgerybvwithbvinsertionbvofb
vanbvintraocularbvlens.bvWhichbvofbvthebvfollowingbvinstructionbvshouldbvthebvnursebvinclude?bv-
bvcorrectbvanswers-Restrictbvliftingbvobjectsbvgreaterbvthanbv10bvpounds
Rationale:bvthebvnursebvinstructbvthebvclientbvtobvrestrictbvliftingbvobjectsbvgreaterbvthanbv10bvpoundsbvtobvreduce
bvthebvrestbvforbvincreasedbvinterocularbvpressure
Abvnursebvisbvcaringbvforbvabvclientbvwhobvhasbvexpressivebvaphasiabvfollowingbvabvcerebrovascularbvaccidentbv(CV
A).bvWhichbvofbvthebvfollowingbvparametersbvshouldbvthebvnursebvusebvfirstbvinbvorderbvtobvassessbvthebvclient'sbvp
ainbvlevel?bv-bvcorrectbvanswers-Abvself-reportbvpainbvratingbvscalebv
Rationale:bvexpressivebvaphasiabvresultsbvfrombvdamagebvtobvanbvareabvofbvthebvfrontalbvlobebvandbvisbvabvmotorbv
speechbvproblem.bvThebvclientbvwhobvhasbvexpressivebvaphasiabvisbvablebvtobvunderstandbvwhatbvisbvsad,bvbutbvisbv
unablebvtobvcommunicatebvverbally.bvHowever,bvthisbvdoesbvnotbvnecessarilybvmeanbvthatbvabvclientbvisbvunablebv
tobvreliablybvreportbvpain.bvevidencebvbasedbvpracticebvindicatesbvthebvnursebvshouldbvfirstbvattemptbvtobvobtainb
vthebvclientbvselfbvreportbvofbvpain.bvWhenbvassessingbvabvclientbvforbvpain,bvthebvnursebvshouldbvutilizebvthebvhiera
rchybvofbvpainbvmeasuresbvwhichbvbeginsbvwithbvselfbvreport.bvItbvisbvalwaysbvbetterbvtobvusebvabvsubjectivebvmeth
od,bvsuchbvasbvabvclientbvreport,bvinsteadbvofbvanbvobjectivebvmethod,bvsuchbvasbvsomethingbvthatbvisbvobservable
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Abvnursebvisbvassessingbvabvclientbvwhobvhasbvabvconcussionbvfrombvabvsportsbvinjury.bvWhichbvofbvthebvfollowingbv
manifestationsbvshouldbvthebvnursebvexpect?bv-bvcorrectbvanswers-Sensitivitybvtobvlight
Rationale:bvthebvnursebvshouldbvexpectbvabvclientbvwhobvhasbvabvmildbvtraumaticbvbrainbvinjury,bvsuchbvasbvabvconc
ussion,bvtobvhavebvsensitivitybvtobvlightbvandbvnoise
Abvnursebvisbvcaringbvforbvabvclientbvwhobvhasbvaphasiabvfollowingbvabvstroke.bvAbvfamilybvmemberbvasksbvthebvnurs
ebvhowbvshebvshouldbvcommunicatebvwithbvthebvclient.bvWhichbvofbvthebvfollowingbvresponsesbvbybvthebvnursebvis
bvappropriate?bv-bvcorrectbvanswers-Incorporatebvnonverbalbvcuesbvinbvthebvconversationbv
Rationale:bvnonverbalbvcues,bvenhancebvthebvclient'sbvabilitybvtobvcomprehendbvandbvusebvlanguage
,AbvnursebvisbvcaringbvforbvabvclientbvwhobvhasbvParkinson'sbvdiseasebvandbvisbvtakingbvdiphenhydraminebv25bvmgbv
PObvTID.bvWhichbvofbvthebvfollowingbvtherapeuticbvoutcomebvshouldbvthebvnursebvexpectbvtobvsee?bv-
bvcorrectbvanswers-Decreasedbvtremors
Rationale:bvClientsbvwhobvhavebvParkinson'sbvdiseasebvoftenbvexperiencebvtrembling,bvmusclebvrigidity,bvdifficul
tybvwalkingbvandbvproblemsbvwithbvbalancebvandbvcoordination.bvAntihistamines,bvlikebvdiphenhydramine,bvhav
ebvabvmildbvanticholinergicbveffectbvandbvmaybvbebvhelpfulbvinbvcontrollingbvtremorsbvinbvthebvearlybvstagebvofbvthe
bvdisease.
Abvnursebvisbvcaringbvforbvabvclientbvwhobvisbvunconsciousbvfollowingbvabvcerebralbvhemorrhage.bvWhichbvofbvthebv
followingbvnursingbvinterventionsbvisbvofbvhighestbvpriority?bv-bvcorrectbvanswers-
Suctionbvsalivabvfrombvthebvclientsbvmouth
Rationale:bvthebvunconsciousbvclientbvisbvunablebvtobvindependentlybvmaintainbvabvclearbvairwaybvandbvisbvatbvris
kbvforbvineffectivebvairwaybvclearancebvaccordingbvtobvthebvsafetybvandbvriskbvreductionbvprioritybvsettingbvframe
work,bvmaintainingbvthebvclientsbvairway,bvbreathing,bvandbvcirculationbvisbvthebvhighestbvpriority
Patientbvadmittedbvwithbvabvpossiblebvdiagnosisbvofbvinfectivebvendocarditisbvandbvprescribedbvgentamicin.bvCli
entbvisbvexhibitingbvsignsbvofbvheadache,bvdizziness,bvnauseabvandbvtinnitus.bvClient'sbvdiagnosticbvlabbvwailersbva
lsobvindicatedbvanbvincreasebvinbvBUN,bvcreatinine,bvgentamicinbvpeakbvlevel,bvAST/ALT.bv-bvcorrectbvanswers-
Thebvnursebvshouldbvidentifybvthatbvthebvprioritybvhypothesisbvisbvthatbvthebvgreatestbvriskbvforbvthebvclientbvisbvde
velopingbvhearingbvlossbvduebvtobvantibiotics.bvOtotoxicitybvmaybvoccurbvinbvclientsbvwhobvarebvreceivingbvamino
glycosides,bvsuchbvasbvgentamicin.bvAnbvincreasebvinbvBUN,bvcreatinine,bvgentamicinbvpeakbvlevel,bvALT/ASTbvallbv
placebvthebvclientbvatbvriskbvforbvototoxicitybvandbvhearingbvloss.bvHearingbvlossbvisbvgenerallybvinbvthebvhighbvfrequ
encybvrangebvandbvisbvassociatedbvwithbvpeakbvaminoglycosidebvlevelsbvthatbvcontinuebvtobvremainbvelevated.
Abvnursebvisbvcaringbvforbvabvclientbvfollowingbvcataractbvsurgery.bvWhichbvofbvthebvfollowingbvcommentsbvfrombvt
hebvclientbvshouldbvthebvnursebvreportbvtobvthebvclientsbvprovider?bv-bvcorrectbvanswers-
"Ibvneedbvsomethingbvforbvthebvpainbvinbvmybveye.bvIbvcan'tbvstandbvit"
Rationale:bvfollowingbvcataractbvsurgery,bvthebvclientbvshouldbvexpectbvonlybvmildbvpainbvandbvshouldbvimmediat
elybvreportbvanybvpain,bvdecreasebvinbvvision,bvorbvincreasebvinbvdischargebvfrombvthebveye.bvSeverebveyebvpainbvaf
terbvsurgerybvmightbvindicatebvincreasedbvintraocularbvpressurebvorbvhemorrhage.
Abvnursebvisbvassessingbvabvclientbvwhobvhasbvabvspinalbvcordbvinjury.bvWhichbvofbvthebvfollowingbvactionbvshouldbvt
hebvnursebvtakebvtobvmonitorbvC4bvfunction?bv-bvcorrectbvanswers-
Applybvdownwardbvpressurebvwhilebvthebvclientbvshrugsbvtheirbvshouldersbvupward
Rationale:bvthisbvassessmentbvmonitorsbvthebvmotorbvfunctionbvofbvC4bvtobvC5
, Abvnursebvisbvplanningbvcarebvforbvabvclientbvwhobvhadbvabvtraumaticbvbrainbvinjurybvandbvisbvemergingbvrestlesslybv
frombvabvcoma.bvwhichbvofbvthebvfollowingbvinterventionbvshouldbvthebvnursebvincludebvinbvthebvplan?bv-
bvcorrectbvanswers-Reducebvstimulibv
Rationale:bvthebvnursebvshouldbvreducebvstimulibvbybvdecreasingbvthebvnumberbvofbvvisitors,bvspeakingbvcalmly,bv
andbvcreatingbvabvquietbvenvironment
AbvnursebvisbvcaringbvforbvabvclientbvwhobvhasbvhadbvabvspinalbvcordbvinjurybvatbvthebvlevelbvofbvthebvT2-
T3bvvertebra.bvWhenbvplanningbvcare,bvthebvnursebvanticipatebvwhichbvofbvthebvfollowingbvtypesbvofbvdisability?bv
-bvcorrectbvanswers-Paraplegiabv
Rationale:bvParaplegiabvorbvparalysisbvofbvbothbvlegs,bvisbvseenbvafterbvabvSCIbvbelowbvT1
Abvnursebvisbvcaringbvforbvabvclientbvfourbvhoursbvfollowingbvevacuationbvofbvabvsubduralbvhematoma.bvWhichbvofbv
thebvfollowingbvassessmentbvisbvthebvnursesbvpriority?bv-bvcorrectbvanswers-Respiratorybvstatusbv
Rationale:bvWhenbvusingbvthebvairway,bvbreathing,bv
circulationbvapproachbvtobvclientbvcare,bvthebvnursebvshouldbvplacebvthebvprioritybvonbvassessingbvthebvclient'sbvre
spirations,bvnotingbvthebvratebvandbvpatternbvandbvevaluatingbvarterialbvbloodbvgases.bvFollowingbvintercranialbvs
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g.bvThebvnursebvshouldbvrecognizebvconfabulationbvwhenbvthebvclientbv..bv-bvcorrectbvanswers-
Makesbvupbvstoriesbvwhenbvhebvisbvunablebvtobvrememberbvactualbveventsbv
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bvanbvMAOI.bvWhichbvofbvthebvfollowingbvfoodsbvshouldbvthebvnursebveliminate?bv-bvcorrectbvanswers-
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Rationale:bvthebvnursebvshouldbveliminatebvagedbvcheesesbvfrombvthebvdietbvofbvabvclientbvwhobvisbvprescribedbvse
legiline.bvCheddarbvcheesebvcontainsbvtyramine,bvwhichbvcanbvcausebvabvhypertensivebvcrisis.
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ebvexpect?bv-bvcorrectbvanswers-Severebvheadache