MOC exam 3 ATI practice
A client with chronic kidney disease is taking epoetin alfa. Which dietary intake should be increased?
iron
How should a pt with GERD lay at night?
lay on the right side
Which medication could potentially cause nephrotoxicity in a patient with chronic kidney disease?
Vancomycin
A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. Which instructions should the nurse include?
your doctor might need to reduce your theophylline dose while taking this medicine
What medication would administer for a pt with BPH?
finasteride
What menu selections should a nurse include for a pt with diverticulitis?
grilled chicken breast with white rice
Which condition can increase the risk for developing renal calculi?
dehydration
What findings are associated with BPH?
difficulty starting the flow of urine
A nurse is providing teaching for a client who has GERD about ways to manage his condition? Which instructions should the nurse include?
eat small 4 meals each day
What foods should a pt avoid with GERD?
chocolate
What nutrients should a client with CKD limit in their diet?
protein, phosphorus, sodium
A nurse is teaching a pt who is taking ranitidine to treat peptic ulcer disease. Which statements indicate an understanding of teaching?
1. I can take this med with or without food 2. I will eat small 5 meals each day
Which statements indicate a client understands the teaching about a new prescription of phenytoin?
1. I will see my dentist 2. I will notify my doctor before taking any other medications 3. I cannot switch brands of this medication
A nurse is caring for a client who is 1 day post op & has continuous bladder irrigation in place. What actions must the nurse take?
1. use sterile technique when preparing the irrigation solution 2. ensure the tubing does not have any kinks or obstructions 3. notify surgeon if urine is bright red or has large clots
A nurse is about to give IV phenytoin to a pt with a seizure disorder. What should the nurse do also?
Administer a saline solution after injection
The nurse is reviewing BUN & creatinine levels of a pt with chronic kidney disease. His levels are BUN 45 mg/dL & creatinine 8 mg/dL. Why is this?
BUN and creatinine levels are elevated in pts which chronic kidney disease
A client with chronic kidney disease is learning the process about continuous ambulatory peritoneal dialysis (CAPD). Which information should be included in the teaching?
CAPD requires the client to follow fewer dietary & fluid restrictions than hemodialysis requires
A pt with multiple sclerosis is taking dantrolene. Which statement indicates the pt understands the teaching?
I need to apply sunscreen when I go outside
A nurse is caring for a pt with urinary incontinence. What action should the nurse take?
apply a moisture barrier ointment to the skin
A nurse is assessing a pt in the ER following a seizure. The nurse suspects the client may have mengicoccal meningitis which she finds nuchal rigdity & a petechial rash. After using droplet precautions, what should the nurse do next?
assess the cranial nerves
what teaching should be included for a pt with gastritis?
avoid drinking alcohol
A nurse is caring for a client who is 5 hour post op. The nurse notes the client's indwelling catheter has not drained. Which of the following actions should the nurse take?
check the tube for kinks
The nurse should recognize which of the following conditions can cause incontienence in the older adults?
cystitis
What is the most reliable way to measure fluid retention for a pt with chronic kidney disease?
daily weights
Which of the following are a priority with peptic ulcer disease?
hematemesis
A client has just had a seizure & became unresponsive after severe headache & vomiting. The temp & bp are high. Which neurological disorders does the nurse suspect?
hemorrhagic stroke
What would be a risk factor for peptic ulcer disease?
hx of NSAIDS
A client has constant leakage of small amounts of urine and a bladder that is distended and palpable. What kind of incontinence is this?
overflow incontinence
A nurse enters a client's room & finds the client is having a seizure. Which action should the nurse take?
place the client on his side
A nurse is providing teaching about a low-FODMAP diet for a pt with IBS. What foods should the pt avoid?
raisins
A nurse is caring for a 2 year old child who has seizures & is receiving phenytoin in suspension form. What should the nurse do before administering the medication?
shake the container vigorously
Which information should the nurse provide for a pt taking sucralfate?
take medicine 1 hour before meals
A nurse is caring for a pt in post op. Which manifestations should the nurse plan to administer PRN bethanochol?
the inability to void
What foods high in potassium should a pt avoid who has chronic kidney disease?
tomatoes, bananas, raisins
A client is having a tonic-clonic seizure. What should the nurse do first?
turn the client's head to the side