ATI- PN Adult Medical Surgical Practice 2017 A COMPLETE QUESTIONS AND CORRECT ANSWERS 100% A+ GRADED

ATI- PN Adult Medical Surgical Practice 2017 A COMPLETE QUESTIONS AND CORRECT ANSWERS 100% A+ GRADED 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? - ANSWERS- 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? - ANSWERS- 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? - ANSWERS- "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 - ANSWERS- -"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? - ANSWERS- 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? - ANSWERS- 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? - ANSWERS- 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? - ANSWERS- 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? - ANSWERS- "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? - ANSWERS- 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? - ANSWERS- 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? - ANSWERS- 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? - ANSWERS- 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? - ANSWERS- 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? - ANSWERS- Prealbumin 12 mg/dL Rationale: This laboratory value is below the expected reference range, indicating that the client's protein status is inadequate and that he is at risk for delayed wound healing due to malnutrition. A nurse is participating in a health fair for older adult client. Which of the following immunizations should the nurse recommend for this age group? - ANSWERS- Herpes zoster A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following actions should the nurse take when communicating with the client? - ANSWERS- Rephrase client instructions when not understood A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the following findings should the nurse report to the provider? - ANSWERS- Urinary retention Rationale: The nurse should recognize that administering morphine to the client can cause urinary retention. Therefore, the nurse should report this finding to the provider. A nurse is preparing to suction a client who has a tracheostomy. Which of the following actions should the nurse take first? - ANSWERS- Ventilate with 100% oxygen. Rationale: According to evidence-based practice, the nurse should ventilate the client with 100% oxygen before suctioning to prevent hypoxemia when removing air and debris from the upper airway. A nurse is reinforcing discharge instructions with a client who is postoperative following a right hip arthroplasty. Which of the following statements should the nurse make? - ANSWERS- "Avoid bending your hips more than 90 degrees." A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally. Which of the following statements should the nurse include in the teaching? - ANSWERS- "Limit contact with large groups of people."