ATI Med Surge

A nurse is reinforcing discharge instructions with a client who is post opt following a right hip arthroplasty. Which of the following statements should the nurse make?

"Avoid bending your hips more than 90 degrees"

A home health nurse is reinforcing teaching with a client about preventing complications of Peripheral Vascular Disease (PVD). Which of the following statements indicates that the client is adhering to the nurse's instructions?

"I don't cross my legs anymore"

A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methlyprednisolone orally. Which of the followings statements should the nurse include in the teaching?

"Limit contact with large groups of people"

A nurse is caring for a client who has a history of breast cancer. The client asks the nurse about birth control. Which of the following methods of birth control is contraindicated for this client?

Combination oral contraceptives

A nurse is reviewing the lab results of a client who is scheduled for a CT scan with any IV contrast agent. Which of the following lab findings should the nurse report to the provider prior to the procedure?

Low Creatinine level

A nurse is reviewing the lab results of a client who has type 2 DM. The nurse should identify that which of the following lab values indicates the client is at risk for delayed wound healing?

Low prealbumin levels

A nurse is caring who is 3 days postoperative following a total right hip arthoplasty. Which of the following actions should the nurse take?

Maintain abduction of the client's right leg while in bed

A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client which of the following findings should the nurse expect?

Red macular rash

A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements indicates an understanding of the use of budesonide and albuterol inhalers?

"I never forget to rinse my mouth after using my budesonide inhaler" "Between office visits, I keep a record of how many times my albuterol inhaler" "I use my albuterol inhaler before I go swimming"

A nurse is reinforcing teaching with a client who has mitral valve disease. Which of the following statements by the client indicates an understanding of the disease process?

"I should call my doctor if my ankles swell"

A nurse is reinforcing teaching about Gastroesophageal reflux (GERD) with a client. Which of the following statements by the client indicates an understanding of the teaching?

"I should wait at least 2 hrs after eating before going to bed"

A nurse is reinforcing teaching with an adolescent client regarding testicular self examination. Which of the following statements by the client demonstrates an understanding of the teaching?

"I understand that testicular cancer is painless"

A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has DM. Which of the following statements indicates that the client understands the teaching?

"I will have my HbA1c checked twice a year but q3 months"

A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following information should the nurse include in the teaching?

"This type of insulin should be given at the same time every day."

A nurse is collecting data on a client who is scheduled for a cardiac cathererization. Which of the following lab levels should the nurse review prior to the procedure?

BUN

A nurse is collecting data from a client who has CKD with hyperkalemia. Which of the following findings should related to hyperkalemia?

Bradycardia

A nurse is monitoring a client who is taking acarbose. Which of the following findings should the nurse identify as an adverse effect of the medication?

Abdominal cramps

A nurse is caring for a client and administer penicllin IM. The client begins exhibiting hives and has severe difficulty breathing. After establishing a patent airway which of the following actions should the nurse take next?

Administers epinephrine

A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial gastrectomy for ulcers. Which of the following information should the nurse include in the teaching?

Avoid liquids at mealtimes

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?

Avoid stopping this medication suddenly

A nurse is contributing to the plan of care for a client who has peripheral arterial disease (PAD) of the lower extremities. Which of the following interventions should the nurse include?

Dangle the extremities off the side of the bed

A nurse is collecting data from a client who has HF and is taking digoxin. Which of the following outcomes from the medication should the nurse expect?

Decreased SOB

A nurse is caring for a client who is scheduled for surgery & is experiencing anxiety. Which of the following interventions should the nurse identify as the priority?

Determine if the client understands the procedure

A nurse is assisting the charge nurse with developing an in-service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include?

Dispose of radiation implants in a lead container

A nurse is caring for a client who is post opt & has an epidural infusion. Which of the following findings should the nurse recognize as the priority?

Dyspnea

A nurse is caring for a client who is 24 hr post opt following abdominal surgery and has an NG tube. Which of the following actions should the nurse plan to take to decrease the risk of post opt complication?

Encourage the client to use an incentive spirometer every hour while awake

A nurse is contributing to the plan of care for an older adult who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss?

Encourage weight baring exercises

A nurse is reinforcing teaching about management of constipation with a client who has hyperthyroidism. Which of the following should the nurse include in the teaching?

Increase intake of fiber rich foods like brown rice, dried fruits

A nurse is reviewing the lab result of a client who has CKD and is receiving epoetin alfa. The nurse should identify that which of the following lab values indicates the treatment is effective?

Increased Hemoglobin level

A nurse is collecting data from a client & notices several skin lesions. Which of the following findings should the nurse report as possible melanoma?

Irregular borders

A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone fracture. Which of the following findings should the nurse recognize as abnormal?

Lack of sensation between the first and second toes

A nurse is reinforcing with a client who is on a low-sodium diet and asks about how to improve the taste of bland food. Which of the following should the nurse recommend?

Lemon Juice

A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal protective equipment should the nurse use?

Mask within 3 ft away

A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral artery. Which of the following actions should the nurse take to prevent post opt complications?

Monitor the insertion site for bleeding, Maintain the pressure dressing, Check the client's peripheral pulses

A nurse is assisting with the discharge planning for a client who is post opt following a total hip arthoplasty. Which of the following instructions should the nurse include in the discharge plan?

Obtain a raised toilet seat

A nurse is reinforcing teaching with a client with HF and a new prescription for hydrochlorothiazide. Which of the following findings should the nurse instruct the client to report to the provider?

Onset of nausea

A nurse is monitoring an older adult who has a history of an enlarged prospate and is experiencing supraubic discomfort. Which of the following actions should the nurse take first?

Palpate the abdomen

A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced suspension skeletal traction 4 days ago. Which of the following action should the nurse take?

Perform pin site daily

A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse take to decrease the risk of aspiration?

Pinch the NG tube

A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions should the nurse take?

Position pillows between the bony preeminence

A nurse is caring for a client who is 1 day post opt following a hip arthoplasty. The client is exhibiting hypotension, tachycardia, and tachypynea. The nurse should recognize that these findings indicate of the following complications?

Pulmonary embolism (PE)

A nurse is providing discharge teaching for the family of a client who has Parkinson's Disease. Which of the following information should the nurse include in the teaching?

Remind the client to avoid watching her feet when walking

A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following actions should the nurse take when communicating with the client?

Rephrase client instructions when not understood

A nurse is reinforcing discharge teaching about wound care with a family member of a client who is post-opt. Which of the following should the nurse include in the teaching?

Report purulent drainage to the HCP

A nurse in a long-term facility is collecting data from a client who reports fullness in the rectum and abdominal cramping. Which of the following findings should indicate to the nurse that the client might have a fecal impaction?

Small liquid stools

A nurse is reinforcing teaching about home care with a client who had a knee arthroplasty. Which of the following factors should the nurse identify as an identification that a barrier to learning might be present?

The client stops the nurse & asks for pain med

A nurse is examining a client's IV site & notes a red line up his arm. The client reports s throbbing, burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of the following complications of IV therapy?

Thrombophlebitis

A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the following findings should the nurse report to the provider?

Urinary retention

A nurse is preparing to suction a client who has a tracheotomy. Which of the following action should the nurse take first?

Ventilate with 100% oxygen

A client is caring for a client who has a MRSA infection in a surgical wound. Which of the following information should the nurse plan to share with visitors?

Visitors must don a gown and gloves prior to entering the client's room