ATI Capstone Med Surg Assessment 2 (UPDATED 2022)

Home>Homework Answsers>Nursing homework help1. a nurse is planning care for a client who has Meniere’s disease and his experiencing episodes of vertical. which of Following intervention should the nurse include in the plan of care?a. Maintain strict bed rest—- pg 75b. Restrict fluid intake to the morning hours.c. Administer aspirin.d. Provide a low-sodium diet.2. a nurse is assessing a client of possible exposure of HIV . Which of the following findings should the nurse identify as an early manifestation of HIV infection?a. Stomatitis b. Fatiguec. Wasting syndromed. Lipodystroph3. Play nurse is teaching a client about using continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea . Which of the following information should the client include in the teaching?a. It delivers a preset amount of inspiratory pressure at the beginning of each breath———— pg 119??????b. it has continuous adjustment feature that changes the airway pressure throughoutthecyclec. it delivers a preset amount of airway pressure throughout the breathing cycled. it delivers positive pressure at the end of each breath4. A nurse is teaching a client about fecal cult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching?a. “Your provider will use stool from your digital rectal examination to perform the test.”b. “Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the bowel.”c. “You should begin annual fecal occult blood testing for colorectal cancer screening at 40 years old.”d. “You should avoid taking corticosteroids prior to testing.”5. A nurse is preparing a client for a colonoscopy. Which of the following medication should the nurse anticipate the provider to prescribe as an anesthetic for the procedure?a. Propofol——– pg 303b. Pancuroniumc. Promethazined. Pentoxifylline6. A nurse is teaching a client who has hypertension about dietary modifications to help control blood pressure. Which of the following food choices should the nurse recommend as a best choice for the client to include in their diet?a. 1 packet of reconstituted dry onion soupb. 3 oz of lean cured ham c. 3 oz of chicken breastd. ½ cup of canned baked beans7. A nurse is caring for a client who has rheumatoid arthritis and has been taking Prednisone.Which     of the following findia. Weight lossb. hypoglycemiang should the nurse identify as an adverse effect of this medication?d.8. A nurse is who has increased intracranial pressure (ICP ). Which of thefollowing intervention should the nurse implement?a. Place several pillows behind the client’s headb. place the client in a Sims position – per p. 83 of 2019 version, first intervention to decrease ICP is to elevate head to at least 30oc. keep the client’s neck in a midline positiond. maintain flexion of the client’s hips at a 90 degree angle9. A home health nurse is providing teaching to the family of a client who has a seizure disorder. Which of the following intervention should the nurse include in the teaching?a. Keep a padded tongue blade near the bedside.b. Place a pillow under the client’s head while in bed during a seizure.c. Administer diazepam orally at the onset of seizures.d. Position the client on their side during a seizure— pg 3610. A nurse is assessing a client who has meningitis the nurse should identify which of the following findings as a positive kernig’s sign?a. After stroking the lateral area of the foot, the client’s toes contract and draw together. b. After hip flexion, the client is unable to extend their leg completely without pain— pg31c. The client’s voluntary movement is not coordinated.d. The client reports pain and stiffness when flexing their neck.11. A nurse is providing discharge teaching to a client who has heart failure and a prescription for furosemide 20 mg PO two times daily. Which of the following instruction should the nurse include in the teaching?a. Monitor for increased blood pressure.b. Increase intake of high-potassium foods——– pg 207c. Expect an increase in swelling in the hands and feet.d. Take the second dose at bedtime.12. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?a. exercise reduces the risk for hypoglycemiab. I can skip my insulin when I don’t eatc. I can drink 4 ounces of soda if my blood sugar is lowd. diabetic pills don’t cause hypoglycemia; Only insulin does13.  A nurse in a rural community center is providing education to a group of clients about first aid interventions for snake bites to prevent further injury. Which of the following instructions should the nurse include in the teaching?a. Apply an ice pack directly to the affected areab. Immobilize the affected extremity with a splint – p. 9, 2019c. Place tourniquet above and below the affected aread. Elevate the affected extremity14. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following should the nurse include as a risk factor for osteoporosis?a. Early menopauseb. history of fallsc. African American raced. obesity15. A nurse is reviewing the medical record of a client who has unstable angina. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data).a.Breath soundsb. Temperaturec. Blood pressured. Creatine kinase16. A nurse is providing discharge teaching to a client who is starting to take carbidopa /levodopa to treat Parkinson’s disease. Which of the following instructions should the nurse include in the teaching?a. “This medication can cause your urine to turn a dark color.”b. “Expect immediate relief after taking this medication.”c. “Take the medication with a high-protein food.”d. “Skip a dose of the medication if you experience dizziness.”— pg 4217. A nurse is providing dietary teaching for a client who has chronic cholecystitis. Which of the following day each of the nurse recommend?a. Low-potassium dietb. High-fiber dietc. Low-fat diet— pg 356d. Low-sodium diet18.  A nurse is providing teaching to a client who is scheduled for an electroencephalogram (EEG). which of the following statements by the client indicates an understanding of the teaching?a. I should not wash my hair prior to the procedureb. I will receive a sedated 1 hour before the procedurec. I should avoid eating prior to the procedureVERSION19.  A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching?a. Immunosuppressant medication needs to be taken for up to 1 yearb. Shortness of breath might be an indication of transplant rejection—– pg 209c. the surgical site will heal in 3 to 4 weeks after surgeryd. begin 45 min of moderate aerobic exercise per day following discharge20. A nurse is caring for a client who has been experiencing repeated tonic clonic seizures over the course of 30 minutes. After maintaining the client’s airway and turning the client on their side, which of the following medication should the nurse administer?a. Diazepam IV– pg 38b. Lorazepam P0c. Diltiazem IVd. Clonazepam PO21.  The nurse is providing discharge instructions to a client who has GERD. Which of the following statements by the client demonstrates an understanding of the teaching?a. I should take my medicine with orange juiceb. a bedtime snack will prevent heartburnc. I will lie down after mealsd. I will limit activities that require bending at the waist22.  A nurse is caring for a client who is at high risk for iron deficiency anemia. Which of the following foods should the nurse instruct the client to increase in their diet?a. Yogurtb. applesc. raisins———————– PER NUTRITION BOOKd. cheddar cheese23.  A nurse is caring for a client who has rights sided pneumothorax. Following chest tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly?a. Gentle bubbling in the suction chamber——- PG 108 2019 VERSIONb. crepitus around the insertion siteosteoc. constant bubbling in the water seal chamberd. absence of breath sounds on the right side24.  A nurse is planning care for a client who has acute post streptococcal glomerulonephritis . Which of the following intervention should the nurse include in the client’s plan?a. Encourage a high-protein diet for the clientb. increase the client’s fluid intakec. administer diuretics to the client – glomerulnophritis results in fluid retention (because kidneys can’t filter out well) (p. 402-403, 2019)d. Weigh client twice a week – wrong, should weigh daily25. A nurse is caring for a client who has a peripheral inserted central catheter (PICC). For which of the following findings should the nurse notify the provider?a. The dressing was changed 7 days ago.b. The circumference of the client’s upper arm has increased by 10% PG 175c. The catheter has not been used in 8 hr.d. The catheter has been flushed with 10 mL of sterile saline after medication use.26. The nurse is developing a plan of care for a client who will be placed in a Halo surgical repair cervical spine. Which of the following intervention should the nurse include in the plan?a. Inspect the pin site every 48 hr.b. Monitor the client’s skin under the halo vest—- pg 474c. Ensure two personnel hold the halo device when repositioning the client.d. Apply powder frequently to the client’s skin under the vest to decrease itching.27. A nurse is caring for a client who has syndrome of inappropriate anti diuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving?a. Urine specific gravity 1.020- pg 284 says “Urine specific gravity: Decreased (1.002 to1.004 in sodium loss; greater than 1.012 in SIADH)” so 1.020 means not resolvingb. Sodium 119 mEq/L——- wrong bc when have SIADH will have hyponatrmiac. BUN 8 mg/dLd. Calcium 8.7 mg/dL – pg 85; I think bc its an electrolyte that is norm range-I PUTTHIS28.  A nurse is caring for a client who is receiving total parenteral nutrition (TPN ). which of the following findings should the nurse identify as a possible complication of TPN administration?a. Pitting edema of bilateral lower extremitiesb. hypoactive bowel sounds in all four quadrantsc. weight is the same as the day befored.bilateral posterior lung sounds are diminished – I think it is this. TPN can result in fluidimbalance/hypervolemia (p. 311)29. A nurse is assessing a client who has a heart rate of 40 /min. the client is diaphoretic and as chest pain period which of the following medication should the nurse plan to administer?a. Lidocaine– for tachycardb. Adenosinec. Atropine————pg 181 chart atropine, dopamine, and epi for bradycard less 60/mind. Verapamil30. The nurse is teaching a group of assistive personnel (AP) about caring for clients who have Alzheimer’s disease. Which of the following information should the nurse include in the teaching?a. Explain procedures in full detail to a client before initiating care b.  limit a client’s activities to minimize emotional outburstc. speak clearly and loudly to a client who is unable to form words or sentencesd. provide supervision to prevent a client from becoming injured or lost31.  A nurse at a provider’s office is interviewing a client who has multiple sclerosis and has been taking dantrolene for several months. Which of the following client statements should the nurse identify as an indication that the medication is effective?a. I don’t have muscle spasms as frequently——— PG 46 2016 VERSIONb. I haven’t gotten any colds, even though it is flu seasonc. I feel like my nerve pain has improvedd. it is easier to urinate now32. A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). which of the following referral should the nurse plan to initiate?a. Respiratory therapyb. Hospice carec. Occupational therapyd. Dietary services—– pg 39414. A nurse is caring for a client who has burn injuries covering their upper body and is concern about their altered appearance. Which of the following statements should the nurse make?a. It is okay to not want to touch the burned areas of your bodyb. cosmetic surgery should be performed within the next year to be effectivec. reconstructive surgery can completely restore your previous appearanced. injuriesit could be helpful for you to attend a support group for people who have burn4. A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome. Which of the following statements should indicate to the nurse that the client understands the teaching?a.I can expect swelling in my hands an on my face—- PER ATI PRE-ASSESSSTUDY GUIDEb. the amount of protein in my blood is highc. I might have some pain and gas in my stomach from this conditiond. I will use a soft bristle toothbrush so my gums don’t bleed10. A nurse is caring for a client who has dehydration. The client has a peripheral IV and has a prescription for an infusion of 0.9% sodium chloride 1000 mL with 40 mEq potassium chloride to infuse over 1 hr. Which of the following action should the nurse take first?a. Teach the client to report findings of IV extravasationb. evaluate the patency of the IVc. consult with the pharmacist about the prescriptiond. verify the prescription with the provider – can’t find in ATI, but google says KCl can cause vomiting/diarrhea, which you wouldn’t want if pt is already dehydrated13. A nurse is admitting a client who has suspected appendicitis. Which of the following findings should the nurse report to the provider immediately?a. Distended, board-like abdomenb. WBC count 15,000 /mm3c. rebound tenderness over McBurney’s point – concur, but can’t find it in ATI onChildren ATI book pg 145 2019 ed. temperature 37.3 C (99.1 F )—– expected2. A nurse in an Emergency Department is caring for a client who sustained multiple injuries. The nurse observes client’s thorax moving inward during inspiration and outward during expiration. The nurse should suspect which of the following injuries?a. Flail chest———— PER PG 157 2019 VERSIONb. Hemothoraxc. Pulmonary contusiond. Pneumothorax20. A nurse is assessing a client who has a sodium level of 122 mEq/L. which of the following findings should the nurse expect?a.Decrease deep-tendon reflexesb. positive Trousseau’s signc. hypoactive bowel soundsd. sticky mucus membranes A nurse is providing teaching to a client who is scheduled for electromyography (EMG). the nurse should include which of the following information in the teaching?a. “You will receive a fixed dose of radioisotope 2 hours before the procedure.”b. “Momentary flushing will occur at the beginning of the procedure.”c. “You should inform your provider if you are claustrophobic.”d. “You should expect insertion of small needle electrodes into the muscles.” pg 44812. The nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instruction should the nurse include?a. Eat three large meals dailyb.consume high calorie foodsc. limit caffeinated drinks to two per dayd. drink fluids during meal time· A nurse is administering a blood transfusion to a client and suspects that the client is having an adverse reaction to the blood. Which of the following action should the nurse take first?a. Maintain IV access.b. Obtain the client’s vital signs.c. Contact the provider. d. Stop the transfusion.· A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instruction should the nurse include in the teaching (select all that apply )a. Use an electric shaver- pg 615b. Avoid crowds.c. Take temperature weekly—– weekly didn’t sound rightd. Consume a low-residue diet- pg 615; not true (low residue is veg and fiber; but inleukemia- need to restrict)e. Monitor for bruising——- pg 616· A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of the following precautions should the nurse initiate to prevent transmission of the disease?o Contact precautionso Airborne precautionso Droplet precautionso Protective environment· A nurse is caring for a client who is hyperventilating and has the following abgs results PH 7.50, PACO2—29, HCO3—25. The nurse should recognize that the client has which of the following acid base imbalance?o Respiratory acidosiso Respiratory alkalosiso Metabolic acidosiso Metabolic alkalosis5. A nurse is planning for a group of postoperative clients. Which of the following interventions should the nurse identify as the priority?a. Administer IV pain medication to a client who reports pain as a 6 on a scale of 0 to 10b. administer oxygen to a client who has an oxygen saturation of 91%c. instructor client who is 1 hour postoperative about coughing and deep breathing exercisesd. initiate an infusion of 0.9% sodium chloride for a client who has just had abdominal surgery23. A nurse is planning care for a client who has acute pancreatitis. Which of the following intervention should the nurse include in the clients plan? (Select all that apply )a. initiate insulin drip—————— ??????????? Says “provide insulin as needs”b. monitor blood glucose levels——– pg 360c. continue regular diet as toleratedd.maintain NPO status until pain-freee.manage acute pain7. A nurse is caring for a client who is to undergo in liver biopsy. Which of the following instruction should the nurse provide to the client following the procedure?a. Lie on your left sideb. lie on your right side—————– PG 366 2019 VERSIONc. increase your fluid intaked. decrease your fluid intakeA nurse is assessing a client who has permanent spinal cord injury and is scheduled for discharge. whichfollowing client statement indicates the client is cop”I would like     to play wheelchair basketball. Whenof the ing efficiently?· I get stronger, I think I’ll look for a league.”· “I’m glad I’ll only be in this wheelchair temporarily. I can’t wait to get back to running.”· “I’m so upset that this happened to me. What did I do to deserve this, and why am I not getting better?”· “I feel like I’ll never be able to do anything that I want to again. All I am is a burden to my family.”· The nurse is caring for a client who has chronic kidney disease. Which of the following diet should the nurse anticipate the provider to prescribe?o 4 g sodium dieto Potassium-restricted dieto High-phosphorous dieto High-protein dietthe nurse is caring for a client who is traumatic brain injury period which of the following binding should indicate to the nurse the need for Immediate intervention?Axillary temperature 37.2° C (99° F)Apical pulse 100/minRespiratory rate 30/minBlood pressure 140/84 mm Hg2 years agoReport issueATI Capstone Med Surg Assessment 2 (UPDATED 2022)NOT RATEDPurchase the answer to view itATICapstoneMedSurgAssessment2UPDATED2022.docxplagiarism checkPurchase $8.1

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