Take temperature once a day. - right answer--A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching?
Provide humidified oxygen - right answer--A nurse is caring for a client who is po...
ATI Med Su rg Proctored Exam Review 2024/2025 Questions And Correct Answers A Graded Take temperature once a day. - right answer --A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the f ollowing instructions should the nurse include in the teaching? Provide humidified oxygen - right answer --A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions? Obtain a pair of slipper socks for the client - right answer --Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficu lty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? Thick, red -colored urine - right answer --A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? Shivering - right answer --A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypot hermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? "I will not exercise if my urine is positive for ketones." - right answer --A nurse is reinforcing teaching about exercise with a cli ent who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? Cover the client's wound with a moist, sterile dressing. - right answer --A nurse notes a small section of bowel protruding fr om the abdominal incision of a client whois postoperative. After calling for assistance, which of the following actions should the nurse take first? Hyperventilation - right answer --A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? Avoid bending at the waist - right answer --A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching? Check the client's vital signs. - right answer --A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the followi ng actions should the nurse take first? Purulent - right answer --A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found? Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises - right answer --A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent po stoperative complications which of the following actions should be reinforced during the teaching? 1) Dyspnea2) Barrel chest3) Clubbing of the fingers4) Shallow respirations - right answer --A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.) Test the drainage for glucose. - right answer --A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril.Which of the following actions should the nurse take first? Prevent bladder distention. - right answer --A nurse is caring for a client who has a spinal cord injury at T -4. The nurse s hould recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia? Abnormal vaginal bleeding - right answer --A nurse is caring for a client who is being evalua ted for endometrial cancer. Which of the following findings should the nurse expect the client to report? Altered level of consciousness - right answer --A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which of the following findings is the nurse's priority? Abdomen is distended - right answer --A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider?
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