Ati Med Surg Test-bank Verified By Experts Gr Aded
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Ati Med Surg Test-bank Verified By Experts Gr Aded
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A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of
the following actions should the nurse take first?
check for the type and number of units of blood to administer
1. a nurse is providing t...
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Ati med surg test bank verified by experts gr
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A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of
the following actions should the nurse take first?
check for the type and number of units of blood to administer
1. a nurse is providing teaching to an older adult female client who has stress incontinence
and a BMI of 32. Which of the following statements by the client indicates an
understanding of the teaching?
I am dieting to lose weight
2. A nurse is providing instructions to a client who has type 2 diabetes and a new
prescription of metformin. Which of the following statements by the client indicates an
understanding of the teaching?
I should take this medication with a meal
3. a nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates
an understanding if the teaching?
i am taking this medication to increase my energy level
4. a nurse is caring for a client who has a prescription for enalapril. The nurse should
identify which of the following findings as an adverse effect of the medication?
orthostatic hypotension
5. a nurse is caring for a client who has hypothyroidism. which of the following
manifestations should the nurse expect?
constipation
6. a charge nurse is instructing a newly licensed nurse about caring for a client who has
MRSA. which of the following statements by the new nurse indicates an understanding of
the teaching?
i will leave assessment equipment in the room to use on this patient
7. a nurse is providing teaching to a client who has irritable bowel syndrome (IBS). which
of the following instructions should the nurse include in the teaching?
increase fiber intake to at least 30 g/day
8. a nurse is caring for a client who has a positive culture for c. diff. which of the following
, actions should the nurse take?
implement contact precautions for the client
9. a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the
following is the priority assessment finding that the nurse should report to the provider?
BP 170/80
10. a nurse is planning care for a client who is scheduled for a throacentesis. which of the
following interventions should the nurse include in the plan?
encourage the client to take deep breaths after the procedure
11. a nurse is assessing a client who has had a suspected cerebrovascular accident. the nurse
should place the priority on which of the following findings?
dysphagia
, 12. a nurse is reviewing the ABG results of a client who has advanced COPD. which of the
following results should the nurse expect?
PaCO2 56
13. a nurse is providing discharge instructions to a client who has laryngeal cancer and is
receiving radiation treatment. which of the following statements by the client indicates an
understanding of the teaching?
i will avoid direct exposure to the sun
14. a nurse is assessing for compartment syndrome in a client who has a short leg cast. which
of the following findings should the nurse identify as a manifestation of this condition?
pain that increases with passive movement
15. a nurse is providing teaching to a client who has a gastric ulcer a d a new prescription for
omeprazole. the nurse should instruct the client that the medication provides relief by
which of the following actions.
suppressing gastric acid production
16. a nurse is assessing a client who has peripheral arterial disease. which of the following
findings should the nurse expect?
hair loss on the lower legs
17. a nurse is assessing a client following the completion of hemodialysis. which of the
following findings is the nurse's priority to report to the provider?
restlessness
18. a nurse is reviewing the medical record of a client who has osteomyelitis and a
prescription of gentamicin. which of the following findings from the client's medical
record should indicate to the nurse the need to withhold the med?
serum creatinine
19. a nurse is reviewing the medical record of a client who has SLE. which of the following
findings should the nurse expect?
facial butterfly rash
20. a nurse is providing teaching to a client who has a new prescription for psyllium. which
of the following information should the nurse include in the teaching?
drink 240 mL of water after administration
21. a nurse in a provider's office is assessing a client who has migraine headaches and is
taking feverfew to prevent her headaches. the nurse should identify that which of the
following client meds interacts with feverfew?
naproxen
22. a nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. which of the following statements should the nurse make?
you will not be able to use sildenfil if you are taking nitroglycerin
23. a nurse is caring for a client who is receiving TPN. a new bag is not available when the
current infusion is nearly completed. which of the following actions should the nurse
take?
administer dextrose 10% in water until the new bag arrives
24. a nurse is providing discharge teaching to a client who has HF and a new prescription for
a potassium-sparing diuretic. which of the following information should the nurse include
in the teaching?
try to walk at least 3 times per week for exercise
, 25. a nurse is planning care for a client who is postop following a laparotomy and has a
closed-suction drain. which of the following actions should the nurse take to manage the
drain?
compress the drain reservoir after emptying
26. a nurse in an emergency department is admitting a client who reports dyspnea and SOB.
which of the following actions is the priority for the nurse to perform prior to
administering oxygen?
determine if the client has a history of COPD
27. a nurse is obtaining a med history from a client who is scheduled to undergo cataract
surgery. the nurse should recognize that which of the following client meds is a
contraindication for the surgery and notify the provider?
warfarin
28. a nurse is caring for a client following extubation of her endotracheal tube 10 min ago.
which of the following findings should the nurse report to the provider immediately
stridor
29. a nurse is providing dietary teaching to a client who is postop following a thyroidectomy
with removal of the parathyroid glands. the nurse should instruct the client to include
which of the following foods to increase calcium in the diet?
12 almonds
30. a nurse is preparing to assist with the insertion of a nontunneled percutaneous central
venous catheter into a subclavian vein. the nurse should plan to place the client in which
of the following positions?
trendelenburg
31. teaching to client with HTN and new med verapamil. what juice should client avoid?
grapefruit
32. client experiencing anaphylactic reaction, after patent airway, which is priority nursing
intervention?
apply oxygen vi face mask
33. client had nephrostomy tube inserted 12hrs ago. what should the nurse report to the
provider?
client reports back pain
34. teaching to perimenopausal and has hormone replacement therapy. adverse effects to
notify provider?
calf pain, numbness in arms, and intense headache
35. older adult with cancer and a new prescription of opioid analgesic. which info should the
nurse include in teaching?
you should increase your fiber intake to prevent constipation
36. a nurse is providing med teaching to a group with seizure disorders. instruction about
phenytoin?
phenytoin decreases the effectiveness of oral contraceptives
37. a nurse is caring for client with supraventricular tachycardia. which action should nurse
take next?
perform synchronized cardioversion
38. change of shift report with four clients. client with greatest risk of developing infection?
COPD and receiving steroid therapy
39. teach with self administration of heparin?
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