ATI- PN Adult Medical Surgical Practice 2023 A Questions and Answers 100% correct
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should the nurse review prior to the procedure?
BUN
Rationale:
BUN levels indicate ...
ATI- PN Adult Medical Surgical Practice 2023 A Questions and Answers 100% correct
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should the nurse review prior to the procedure? - answer BUN Rationale:
BUN levels indicate kidney function. The nurse should review the lab level to determine if the client can tolerate the IV contrast dye during the procedure.
A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical spinal cord injury. Which of the following interventions should the nurse plan to implement first? - answer Determine the client's daily elimination habits.
A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include? - answer "You should have a pneumococcal immunization every 10 years."
A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements indicates an understanding of the ruse of budesonide and albuterol inhalers? SATA - answer -"I never forget to rinse my mouth after using my budesonide inhaler."
-"Between office visits, I keep a record of how many times I use my albuterol inhaler."
-"I use my albuterol inhaler before I go swimming."
A nurse in a long-term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to the nurse that the client might have a fecal impaction? - answer Small liquid stools
A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a halo vest in place. Which of the following safety precautions should the nurse include in teaching? - answer Change the sheepskin liner weekly
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin cancer. Which of the following information should the nurse include in the teaching? - answer Mohs surgery is a horizontal shaving of thin layers of the tumor
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the following should the nurse recognize as a contraindication to HRT? - answer History of treatment for blood clots 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? - answer "I understand that pea-sized lumps are normal."
A nurse is reviewing the laboratory results of a client who has chronic kidney failure and
is receiving epoetin Alfa. The nurse should identify that which of the following laboratory
values indicates the treatment is effective? - answer Hgb 11 g/dL
A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? - answer Creatinine 1.9 mg/dL
Rationale:
Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the nurse should report the finding to the provider before the client has a CT scan with an IV contrast agent. This finding places the client at risk for developing contrast-induced nephropathy.
A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the risk for aspiration? - answer Allow for 30 min of rest before meals
A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke. Which of the following interventions should the nurse plan to implement first? - answer Recommend a referral for a speech language pathologist.
Rationale:
The greatest risk to the client following a stroke is injury from aspiration. Therefore, the first intervention the nurse should include in the plan of care is to recommend a referral for a speech language pathologist. A speech language pathologist can conduct a swallow study to determine the client's risk for aspiration, provide teaching to the client regarding swallowing techniques, and recommend the consistency of foods and liquids
A nurse is assisting the charge nurse with developing an in-service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include? - answer Dispose of radiation implants in a lead container.
Rationale:
Lead impairs the emission of radiation. Therefore, the nurse should dispose of radiation implants in a lead container in accordance with facility protocol.
A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse should identify that which of the following laboratory values indicates the client is at risk for delayed wound healing? - answer Prealbumin 12 mg/dL
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