Ati Advanced Med surg
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1. A nurse is contributing to the plan of Encourage weight bearing exer-
care for an older adult client who is at cises (such as walking because
risk for Osteoporosis. Which interven- it can help maintain bone mass
tion should the nurse include to pre- by reducing bone demineraliza-
vent bone loss? tion, thus helping to prevent osteo-
porosis.)
2. A nurse is caring for a client who Mask (this disease requires
has meningococal pneumonia. Which droplet precautions)
of the following personal protective
equipment should the nurse use?
3. A nurse is reinforcing teaching with a This type of insulin should be giv-
client who is taking insulin Glargine. en at the same time everyday. (It
What information should the nurse in- is released over a 24hr period)
clude in the teaching?
4. A home health nurse is reinforcing "I don't cross my legs anymore
teaching with a client about preventing
complications of peripheral vascular
disease. What statement by the client
indicates that they are adhering to the
nurse's instructions?
5. A nurse is caring for a client who has Visitors must don a gown & gloves
a methicillin-resistant Staphlococcus prior to entering the client's room
aureus (MRSA) infections in a surgical
wound. What information should the
nurse plan to share with visitors?
6. A nurse is reinforcing teaching with a Onset of nausea
client who has heart failure and a new
prescription for hydrochlorothiazide.
What should the client report to the
provider?
7. A nurse is reinforcing discharge teach- Rephrase client instructions when
ing with a client who has hearing loss. not understood
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What action should the nurse take
when communicating with the client?
8. A nurse is caring for a client who is Pulmonary Embolism
1 day post operative following a hip
arthroplasty. The client is exhibiting hy-
potension, tachycardia, & tacky-nearly.
The nurse should recognize these find-
ings as what complication?
9. A nurse is monitoring a client who re- Lack of sensation between the
cently had a cast placed on the right first and second toes
lower extremity for a bone fracture.
What finding should the nurse recog-
nize as abnormal?
10. A nurse reinforcing teaching with a Limit contact with large groups of
client who has systemic lupus erythe- people
matosus (SLE) and is to begin tak-
ing methylprednisolone orally. What
should the nurse include in the teach-
ing?
11. A nurse is caring for a client who is Encourage the client to use an
24hr postoperative following abdomi- incentive spirometer every hour
nal surgery & has an NG tube. What while awake
action should the nurse plan to take
to decrease the risk of postoperative
complications?
12. A nurse is collecting data from a client Bradycardia
who has chronic kidney disease with
hyperkalemia. What finding should the
nurse expect related to hyperkalemia?
13. A nurse is assisting in the care of Initiate oxygen at 4 L/min via nasal
a client who has manifestations of cannula
sepsis. What provider prescriptions
should the nurse implement first?
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14. A nurse is caring for a client who "Tell me more about the way you
has terminal pancreatic cancer. The are feeling."
client states, "I don't think I can go on
any longer." What response should the
nurse make?
15. A nurse is collecting data from a client Dysrhythmia
who has hypokalemia. What finding
should the nurse identify as the priori-
ty?
16. A nurse is caring for a client who is Keep the skin dry and free of per-
in Buck's traction. What intervention spiration
should the nurse perform to reduce
skin breakdown?
17. A nurse is contributing to the plan Have a designated stethoscope in
of care for a client who has a me- the client's room
thicillin-resistant Staphylococcus au-
reus (MRSA) infections and is on con-
tract isolation precautions. What ac-
tion should the nurse take?
18. A nurse enters the room of a client Stop the infusion
whose transfusion of packed RBCs
was initiated 15 min ago by the RN. The
client reports dyspnea and urticaria.
What action should the nurse perform
first?
19. A nurse is preparing to auscultate the hyperactive bowel sounds
bowel sounds of a client who has a me-
chanical bowel obstruction in the de-
scending colon. When listening in the
left upper quadrant, the nurse should
identify this sound as what?
20. A nurse is preparing to administer decreased potassium
furosemide to a client who has heart
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