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2024/2025 UPDATED ATI CAPSTONE ADULT MEDICAL SURGICAL ASSESSMENT 1 $25.49
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2024/2025 UPDATED ATI CAPSTONE ADULT MEDICAL SURGICAL ASSESSMENT 1
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  • Medical surgical nursing
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  • Medical Surgical Nursing

A nurse is caring for an adult client who asks about vaccinations against communicable diseases. The nurse should inform the client that which of the following vaccines are available? (Select all that apply) Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine Hepatitis C vaccine Helicobac...

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  • March 26, 2024
  • 22
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • updated ati ca
  • updat
  • ati capstone adult medical surgical assessment 1
  • a nurse is caring for an adult client who asks abo
  • updated ati capstone adult medical
  • updated ati capstone adult medical surgi

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  • Medical surgical nursing
  • Medical surgical nursing

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ATI CAPSTONE ADULT
MEDICAL SURGICAL
ASSESSMENT 1

,A nurse is caring for an adult client who asks about vaccinations against communicable
diseases. The nurse should inform the client that which of the following vaccines are
available? (Select all that apply)
Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine Hepatitis C vaccine
Helicobacter pylori vaccine
Adult vaccines currently available to prevent contracting communicable diseases include
those for hepatitis A & B influenza and pneumonia. No vaccine is currently available for
hep C/H. pylori = A, B, C


A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the
following dietary modifications should the nurse include?
Provide a snack at bedtime Choose decaffeinated coffee Restrict intake of fried foods
Avoid drinking liquids with meals
The nurse should instruct the client to avoid fried foods, spicy foods, and acid-producing
foods, such as coffee and chocolate. Spicy foods, such as chili pepper, red pepper, and
black pepper can cause mucosal damage. The nurse should instruct the client to avoid
decaffeinated and caffeinated beverages and snacks at bedtime, which can stimulate
gastric acid secretion. A client with dumping syndrome, rather than peptic ulcer should
avoid liquids with meals = C


A nurse is caring for a client who is postoperative immediately following a
pheochromocytoma removal. Which of the following actions is the nurse’s priority?
Increase hydration Monitor blood pressure Measure urine output
Provide a calm environment


The greatest risk to this client is injury from hypertension due to the release of

, catecholamines during surgery or hypotension from the sudden loss of catecholamines aker
the tumor has been removed.
Therefore, the priority intervention the nurse should take is to monitor the client's blood
pressure = B


A nurse is caring for a client who is using a ventilator when the low-pressure ventilator
alarm sounds. Which of the following actions should the nurse take?
Suction secretions from the endotracheal tube Check the ventilator tubing connections
Administer intravenous sedation and analgesia
Reassure the client and instruct them not to bite on the tube
A low-pressure alarm indicates a loss of volume due to a disconnection, cuff link or tube
displacement
=B


A nurse is assessing a client who is receiving a blood transfusion. Which of the following
findings indicates the client might be experiencing a hemolytic transfusion reaction?
Hypertension Report of urticaria
Distended neck veins Report of chest pain


Chest pain is a manifestation of a hemolytic transfusion reaction. Other manifestations
include headache, low back pain, and hypotension = D
A nurse is assessing a client who has right lower lobe pneumonia. Which of the following
findings should the nurse expect?
Dull percussion sounds
Increased anteroposterior chest diameter Distended neck veins
Pitting edema

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