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Med Surg 2 Final ATI book HIV, Vascular disorders Questions With Complete Solutions
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Med Surg 2 Final ATI book HIV, Vascular disorders Questions With Complete Solutions
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Med Surg 2 Final ATI book HIV, Vascular disordersQuestions With Complete Solutions
· The nurse is caring for a patient in the clinic setting who
complains of vaginal discharge that is thick with a white, cottage
cheese-like appearance. The patient states that she has pruritus
and irritation. The symptoms seem to be more severe just before
menstruation. What should the nurse expect to be included in the
plan of care for this patient?
o Clindamycin (Cleocin)
o Fluconazole (Diflucan)
o Metronidazole (Flagyl)
o Tinidazole (Tindamax) Correct Answer Fluconazole
(Diflucan). This patient presents with symptoms of a candidiasis
infection which should be treated with an antifungal agent such
as Diflucan. The other three medications are anti-infectives used
to treat bacterial vaginosis and trichomoniasis
· When educating the public about eye safety, the nurse would
instruct that if chemical exposure or irritant to the eye occurs the
eye should be flushed with water for how long?
o 5 minutes
o 10 minutes
o 15 minutes
o 20 minutes Correct Answer Answer: 20 minutes. § When an
exposure occurs, the eye should be continuously flushed with
tap water for 20 minutes. It is important to begin the flushing
process within 5 minutes for the best outcome. Additional
education should include saving the bottle or container, if a
chemical exposure, for the emergency response providers so the
chemical involved is known to provide further emergent care
,· Which instruction would be appropriate to include in discharge
instructions after cataract surgery with a lens implant?
o Sleep on the side of the affected eye the night after surgery
o Resume normal activities on postoperative day 2
o Avoid bending or stooping for an extended period
o Attempt to hold in sneeze if it occurs Correct Answer
Answer: Avoid bending or stooping for an extended period
· Which patient is at highest risk for venous thromboembolism?
o A. a 50 y/o post op patient
o B. 25 y/o patient with central venous catheter in place to treat
septicemia
o C. 71 y/o otherwise healthy older adult
o D. pregnant 30 y/o woman due in two weeks Correct Answer
B
· Which woman is at highest risk for cervical cancer?
o A 25-year-old woman who smokes and has multiple sexual
partners
o A 40-year-old woman who had her first child at age 19 years
and has been exposed to HPV
o An 18-year-old woman who has just had her first sexual
encounter
o An obese 30-year-old woman who has nutritional deficiencies
and a family history of cervical cancer Correct Answer
Answer: An obese 30-year-old woman who has nutritional
deficiencies and a family history of cervical cancer
· Rationale: Risk factors for cervical cancer include but are not
limited to smoking, multiple sexual partners, first child at an
early age, exposure to HPV, first sexual encounter at an early
,age, obesity, nutritional deficiencies, and a family history of
cervical cancer. All patients have risk factors, but the 40-year-
old woman has the most (three: obesity, nutritional deficiencies,
and family history)
A 24-year old man seeks medical attention for complaints of
claudication in the arch of the foot. A nurse also notes
superficial thrombophlebitis of the lower leg. The nurse would
next assess the client for:
1.Familial tendency toward peripheral vascular disease
2.Smoking history
3.Recent exposures to allergens
4.History of insect bite Correct Answer 2. The mixture of
arterial and venous manifestations (claudication and phlebitis,
respectively) in the young male client suggests Buerger's
disease. This is an uncommon disorder characterized by
inflammation and thrombosis of smaller arteries and veins. This
disorder typically is found in young adult males who smoke.
The cause is not known precisely but is suspected to have an
autoimmune component.
a family member of the client undergoing cataract surgery asks
the nurse if there are ways to prevent cataracts. Which
recommendations should the nurse suggest? Select all that
apply.
1. wear sunglasses that limit UV light penetration
2. wear sunscreen with a high protection factor number
3. wear eye protection if there is any risk for eye injury
4. avoid activities and reading in dimly lit environments
, 5. eat foods that are high in Vitamin C, such as oranges Correct
Answer 1, 3
Limiting eye exposure to UV light has been found to decrease
the risk for cataracts
Avoiding trauma to the eye has been found to decrease the risk
for cataracts
A nurse in a clinic receives a phone call from a client seeking
information about his new prescription for
erythropoietin (Epogen). Which of the following information
should be reviewed with the client?
A. The client needs an erythrocyte sedimentation rate (ESR) test
weekly.
B. The client should have his hemoglobin checked twice a week.
C. Oxygen saturation levels should be monitored.
D. Folic acid production will increase. Correct Answer B
A nurse in an outpatient clinic is assessing a client who reports
night sweats and fatigue. He states he had a cough along with
nausea and diarrhea. His temperature is 38.1 C orally. The client
is afraid he has HIV. Which action should the nurse take? Select
all that apply.
a. perform a physical assessment
b. determine when s/s began
c. teach the client about HIV transmission
d. draw blood for HIV testing
e. obtain a sexual history Correct Answer a, b, e
A nurse is assessing a client for HIV. Which are risk factors?
Select all that apply.
a. perinatal exposure
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