A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve
some of the side effects. which of the following findings should the nurse identify as a contraindication to receiving
this alternative therapy?
Lymphedema
A nurse is preparing to ...
a nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects which of the following findings
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ATI RN MED
SURG EXAM
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,A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve
some of the side effects. which of the following findings should the nurse identify as a contraindication to receiving
this alternative therapy?
Lymphedema
A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a
drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to administer?
33
A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of
the following client statements indicates an understanding of the teaching?
I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. Which of the
following instructions should the nurse include in the teaching?
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. which of the following actions should the
nurse take?
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. which of the
following client statements indicates that the client is adapting to their role change?
I will need to have my partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to chemotherapy. which of the
following information should the nurse include in the teaching?
Change your pet's litter box daily
a nurse is caring for a client who has a contusion and reports thirst. The client's urinary output was 4,000 ml over
past 24 hr. the nurse should anticipate a prescription for which of the following IV medications?
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and
reports nagging dry cough. Which of the following responses by the nurse is appropriate?
Sucking on a lozenge may reduce the frequency of your cough
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following
assessment findings should the nurse identify as a parenteral trigger for exacerbation of Raynaud's?
Using nicotine transdermal patch
A nurse is caring for a client who has a central venous device and notes the tubing has become disconnected. the
client develops dyspnea and tachycardia. Which of the following actions should the nurse take first?
A nurse is completing an assessment of an older client and notes reddened areas over the bony prominences, but
the client's skin is intact. which of the following interventions should the nurse include in the plan of care?
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the following actions
is the priority for the nurse to take?
List strategies for family coping when dealing with possible role changes
,A nurse in the emergency department is assessing a client. which of the following actions should the nurse take
first?
Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The nurse should
identify which of the following findings as increasing the client's risk?
History of Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm not sure I want to
have a mastectomy." Which of the following statements should the nurse make?
I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the sequence of steps
the nurse should follow.
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast
expander. Which of the following statements by the client indicates an understanding of the teaching?
I should expect less than 25 ml of secretions per day in the drainage devices
A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does
not open her eyes, displays decerebrate posturing and makes incomprehensible sounds. which of the following
Glasgow Coma scale scores should the nurse assign the client?
5
A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to
2 g per day. Which of the following statements by the client indicates an understanding of the teaching?
I can have a frozen fruit juice bar for dessert
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the
following actions should the nurse plan to take first?
Instill 0.9% sodium chloride solution into the affected eye
A nurse is assessing a client following extubation from a ventilator for which of the following findings should the
nurse intervene immediately?
Stridor
A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings
should the nurse expect?
Elevated blood glucose
A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings
should the nurse expect?
Urine specific gravity 1.001
A nurse is planning care for a client who has a pulmonary embolism. which of the following interventions should
the nurse include?
Initiate a continuous IV heparin infusion
, A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. which of the following
instructions should the nurse include?
Avoid extremely hot or cold temperatures
A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which
of the following actions should the nurse take first.
Insert a large-bore IV catheter
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate
circulation on of the graft?
Palpable thrill
A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the following finding
indicates hypokalemia?
Muscle weakness
A nurse is caring for a client in diabetic ketoacidosis (DKA) Which of the following is the priority intervention by the
nurse?
Infuse 0.9% normal saline
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements
indicates an understanding of the teaching?
I will expect my stools to be loss
A nurse is caring for a client who is receiving total parenteral nutrition through a central line. The current bag is
nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse
take?
Switch the infusion to a 10% dextrose solution
A nurse is caring for a client who is 6hr postoperative following a thyroidectomy. The client reports tingling and
numbness in the hands. The nurse should identify this as a sign of which of the following electrolyte imbalance?
Hypocalcemia
A nurse in a provider office is caring for a client who has total vision loss and is the handler of a service dog. which
of the following actions should the nurse take to show consideration for the client and the service animal?
Consult the client before approaching the dog.
A nurse is reviewing medications taken at home with a client who has angina. which of the following statements by
the client indicates an understanding of the teaching?
I should lie down before taking a dose of isosorbide dinitrate
A nurse in the post anesthesia care unit is assessing a client following an appendectomy and finds a 2 cm (3/4 in)
area of blood on the postoperative dressing. which of the following actions should the nurse take?
Apply pressure
A nurse is caring for a client who is receiving mechanical ventilation. Which of the following interventions should
the nurse implement?
a. Empty water from the ventilator tubing daily.
b. Suction the client's airway every 4 hr.
c. Maintain the client in supine position.
d. Perform oral care every 2 hr.
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