ATI Med Surge 2023
A nurse is reinforcing discharge teaching about wound care with a family member of a
client who is post-opt. Which of the following should the nurse include in the teaching? -
CORRECT ANSWER Report purulent drainage to the HCP
A nurse is caring for a client who has bacteria...
ATI Med Surge 2023
A nurse is reinforcing discharge teaching about wound care with a family member of a
client who is post-opt. Which of the following should the nurse include in the teaching? -
CORRECT ANSWER Report purulent drainage to the HCP
A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client
which of the following findings should the nurse expect? - CORRECT ANSWER Red
macular rash
A nurse is contributing to the plan of care for an older adult who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent
bone loss? - CORRECT ANSWER Encourage weight baring exercises
A nurse is collecting data from a client & notices several skin lesions. Which of the
following findings should the nurse report as possible melanoma? - CORRECT
ANSWER Irregular borders
A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client
following a partial gastrectomy for ulcers. Which of the following information should the
nurse include in the teaching? - CORRECT ANSWER Avoid liquids at mealtimes
A nurse is collecting data on a client who is scheduled for a cardiac cathererization.
Which of the following lab levels should the nurse review prior to the procedure? -
CORRECT ANSWER BUN
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a
client who has DM. Which of the following statements indicates that the client
understands the teaching? - CORRECT ANSWER "I will have my HbA1c checked
twice a year but q3 months"
A nurse is examining a client's IV site & notes a red line up his arm. The client reports s
throbbing, burning pain at the IV site. The nurse should identify that the client's
manifestations indicate which of the following complications of IV therapy? - CORRECT
ANSWER Thrombophlebitis
A nurse is reinforcing teaching about management of constipation with a client who has
hyperthyroidism. Which of the following should the nurse include in the teaching? -
CORRECT ANSWER Increase intake of fiber rich foods like brown rice, dried fruits
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take? - CORRECT ANSWER Position pillows
between the bony preeminence
, A nurse is contributing to the plan of care for a client who has peripheral arterial disease
(PAD) of the lower extremities. Which of the following interventions should the nurse
include? - CORRECT ANSWER Dangle the extremities off the side of the bed
A nurse is caring for a client who has meningococcal pneumonia. Which of the following
personal protective equipment should the nurse use? - CORRECT ANSWER Mask
within 3 ft away
A nurse is assisting with the care of a client who had a cardiac catheterization via the
right femoral artery. Which of the following actions should the nurse take to prevent post
opt complications? - CORRECT ANSWER Monitor the insertion site for bleeding,
Maintain the pressure dressing,
Check the client's peripheral pulses
A nurse is caring for a client who is post opt & has an epidural infusion. Which of the
following findings should the nurse recognize as the priority? - CORRECT ANSWER
Dyspnea
A nurse is reinforcing teaching about Gastroesophageal reflux (GERD) with a client.
Which of the following statements by the client indicates an understanding of the
teaching? - CORRECT ANSWER "I should wait at least 2 hrs after eating before going
to bed"
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the
following information should the nurse include in the teaching? - CORRECT ANSWER
"This type of insulin should be given at the same time every day."
A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
understanding of the teaching? - CORRECT ANSWER "I understand that testicular
cancer is painless"
A nurse is caring for a client who is scheduled for surgery & is experiencing anxiety.
Which of the following interventions should the nurse identify as the priority? -
CORRECT ANSWER Determine if the client understands the procedure
A nurse is reinforcing teaching about home care with a client who had a knee
arthroplasty. Which of the following factors should the nurse identify as an identification
that a barrier to learning might be present? - CORRECT ANSWER The client stops the
nurse & asks for pain med
A nurse is reinforcing discharge instructions with a client who is post opt following a
right hip arthroplasty. Which of the following statements should the nurse make? -
CORRECT ANSWER "Avoid bending your hips more than 90 degrees"
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