1.A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which of
the following findings should the nurse identify as a contraindication to
receiving this alternative therapy?: Lymphedema
2.A nurse is preparing to administer lactated Ringer's via continuos IV
infu- sion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How
many gtt/min should the nurse set the IV ump to administer?: 33
3.A nurse is providing discharge teaching to a client who has a new pre-
scription for sublingual nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?: I should lie down
when I take this medication
4.A nurse is providing discharge teaching to an older adult client
following total hip arthroplasty. Which of the following instructions should
the nurse include in the teaching.: Install a raised toilet seat in your
bathroom
5.A nurse is planning care for a client following a cardiac
catheterization. which of the following actions should the nurse take.:
Maintain the client's affected extremity in extension
6.A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. which of the following client statements
indicates that the client is adapting to their role change?: I will need to
have my partner take over shopping for groceries and cooking the
meals for us
7.A nurse is providing teaching to a client who has an impaired immune
system due to chemotherapy. which of the following information should
the nurse include in the teaching?: Change your pet's litter box daily
8.a nurse is caring for a client who has a contusion and reports thirst. The
client's urinary output was 4,000 ml over past 24 hr. the nurse should antici-
pate a prescription for which of the following IV medications?:
Desmopressin
9.A nurse in a clinic receives a phone call from a client who recently
started therapy with an ACE inhibitor and reports nagging dry cough.
Which of the following responses by the
nurse is appropriate?: Sucking on a lozenge may reduce the frequency of
your cough
10. A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment findings should the
nurse identify as a parenteral trigger for exacerbation of Raynaud's?: Using
nicotine transder- mal patch
, ATI Med Surg Proctored
11.A nurse is caring for a client who has a central venous device and notes
the tubing has become disconnected. the client develops dyspnea and
tachy- cardia. Which of the following actions should the nurse take first?:
, 12. A nurse is completing an assessment of an older client and notes
reddened areas over the bony prominences, but the client's skin is intact.
which of the following interventions should the nurse include in the plan of
care?: Support bony prominences with pillows
13.A home health nurse is making an initial visit to a client who has
multiple sclerosis. Which of the following actions is the priority for the
nurse to take?:
14.A nurse in the emergency department is assessing a client. which of the
following actions should the nurse take first? (click on rhe "exhibit" button
for additional information about the client: Initiate airborne precautions
15.A nurse is reviewing the medical record of a client to identify factors for
colorectal cancer. The nurse should identify which of the following findings
as increasing the client's risk?: Historyof Crohn's disease
16.A nurse is caring for a client who is scheduled for a mastectomy. The
client tells the nurse, "I'm not sure I want to have a mastectomy." Which
of the following statements should the nurse make?: I can give you
additional information about the procedure
17.A nurse is preparing to administer a unit of packed RBCs to a client
who is anemic. Identify the sequence of steps the nurse should follow.: 1.
obtain venous access using a 19-gauge needle
2.Obtain the unit of a packed RBCs from blood bank
3.verify blood compatibility with another nurse
4.Initiate traensfuntion of the unit of packed RBCs
5.Remain with the client for the first 15 to 30 minutes
18.A nurse is providing discharge teaching to a client following a modified
left radical mastectomy with breast expander. Which of the following
statements by the client indicates an understanding of the teaching.: I
should expect less than 25 ml of secretions per day in the drainage
devices
19.A critical care nurse is assessing a client who has a severe head injury.
In response to painful stimuli, the client does not open her eyes, displays
decerebrate posturing and makes incomprehensible sounds. which of the
following glasgow Coma scale scores should the nurse assign the client?:
5
20.A nurse is providing discharge teaching to a client who has heart failure
and instructs him to limit sodium intake to 2 g per day. Which of the
following statements by the client indicates an understanding of the
teaching?: I can have a frozen fruit juice bar for dessert
21.A nurse is preparing to perform ocular irrigation for a client following a
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