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Med surg exam 3 ATI practice questions w/ rationales questions and answers correct and verified 100%

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Med surg exam 3 ATI practice questions w/ rationales questions and answers correct and verified 100%Med surg exam 3 ATI practice questions w/ rationales questions and answers correct and verified 100% A nurse is providing discharge instructions for a client following cataract surgery with insertion of an intraocular lens. Which of the following instruction should the nurse include? - correct answers-Restrict lifting objects greater than 10 pounds Rationale: the nurse instruct the client to restrict lifting objects greater than 10 pounds to reduce the rest for increased interocular pressure A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level? - correct answers-A self-report pain rating scale Rationale: expressive aphasia results from damage to an area of the frontal lobe and is a motor speech problem. The client who has expressive aphasia is able to understand what is sad, but is unable to communicate verbally. However, this does not necessarily mean that a client is unable to reliably report pain. evidence based practice indicates the nurse should first attempt to obtain the client self report of pain. When assessing a client for pain, the nurse should utilize the hierarchy of pain measures which begins with self report. It is always better to use a subjective method, such as a client report, instead of an objective method, such as something that is observable by the nurse, which is much less reliable. A nurse is assessing a client who has a concussion from a sports injury. Which of the following manifestations should the nurse expect? - correct answers-Sensitivity to light Rationale: the nurse should expect a client who has a mild traumatic brain injury, such as a concussion, to have sensitivity to light and noise A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate? - correct answers-Incorporate nonverbal cues in the conversation Rationale: nonverbal cues, enhance the client's ability to comprehend and use language A nurse is caring for a client who has Parkinson's disease and is taking diphenhydramine 25 mg PO TID. Which of the following therapeutic outcome should the nurse expect to see? - correct answers-Decreased tremors Rationale: Clients who have Parkinson's disease often experience trembling, muscle rigidity, difficulty walking and problems with balance and coordination. Antihistamines, like diphenhydramine, have a mild anticholinergic effect and may be helpful in controlling tremors in the early stage of the disease. A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority? - correct answers-Suction saliva from the clients mouth Rationale: the unconscious client is unable to independently maintain a clear airway and is at risk for ineffective airway clearance according to the safety and risk reduction priority setting framework, maintaining the clients airway, breathing, and circulation is the highest priority Patient admitted with a possible diagnosis of infective endocarditis and prescribed gentamicin. Client is exhibiting signs of headache, dizziness, nausea and tinnitus. Client's diagnostic lab wailers also indicated an increase in BUN, creatinine, gentamicin peak level, AST/ALT. - correct answers-The nurse should identify that the priority hypothesis is that the greatest risk for the client is developing hearing loss due to antibiotics. Ototoxicity may occur in clients who are receiving aminoglycosides, such as gentamicin. An increase in BUN, creatinine, gentamicin peak level, ALT/AST all place the client at risk for ototoxicity and hearing loss. Hearing loss is generally in the high frequency range and is associated with peak aminoglycoside levels that continue to remain elevated. A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the clients provider? - correct answers-"I need something for the pain in my eye. I can't stand it" Rationale: following cataract surgery, the client should expect only mild pain and should immediately report any pain, decrease in vision, or increase in discharge from the eye. Severe eye pain after surgery might indicate increased intraocular pressure or hemorrhage. A nurse is assessing a client who has a spinal cord injury. Which of the following action should the nurse take to monitor C4 function? - correct answers-Apply downward pressure while the client shrugs their shoulders upward

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Med surg exam 3 ATI practice questions
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