MS ATI

A nurse is reviewing the laboratory test results of a client who has end stage renal disease and reports fatigue. The client's hemoglobin level is 8 g/dL. The nurse should expect a prescription for which of the following medications? a) erythropoietin b) erythromycin c) filgrastim d) calcitriol

a) erythropoietin Erythropoietin stimulates the productions of RBCs and is used to treat anemia associated with chronic renal failure. Erythromycin is used to treat infection. Filgrastim is used to stimulate the production of neutrophils. Calcitriol is used to prevent hypocalcemia in clients who have chronic kidney disease

A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following action should the nurse plan to take first? a) obtain sample menus from the dietitian to give to the client b) ask the client to identify the types of foods she prefers c) identify the recommended range of the client's blood glucose d) discuss long term complications that can result from non-adherence to the dietary plan

b) ask the client to identify the types of foods she prefers

A nurse is caring for a client who has been diagnosed with an Addisonian crisis and has a blood pressure of 74/42 mmHG/ Which of the following prescription should the nurse anticipate? a) desmopressin b) hydrocortisone c) dopamine d) furosemide

b) hydrocortisone

A nurse is teaching a client who was recently diagnosed with Raynaud's disease about preventing the onset of manifestations. Which of the following statements by the client indicates an understanding of the teaching? a) I should limit my exposure to sunlight b) I should avoid drinking alcohol c) I should not smoke d) I should limit of intake of foods that are high in purine

c) I should not smoke Raynaud's disease is a disorder of the blood vessels that supply blood to the skin and cause distal extremities to feel numb and cool in response to cold temperatures or stress

A charge nurse is observing a newly licensed nurse provide care for a client who is receiving internal radiation therapy for the treatment of cervical cancer. For which of the following actions by the newly licensed nurse should the charge nurse intervene? a) leaving soiled linens in a container in the client's room b) instructing visitors to remain 1 m (3ft) away from the client c) borrowing a dosimeter film badge from another nurse before entering the client's room d) removing an extra IV pole from the client's room to be used for another client

c) borrowing a dosimeter film badge from another nurse before entering the client's room

A nurse in an acute care facility is preparing to admit a client who has myasthenia gravis. Which of the following supplies should the nurse place at the client's bedside? a) metered dose inhaler b) continuous passive motion machine c) oral nasal suction equipment d) external defibrillator pads

c) oral nasal suction equipment A client who has myasthenia gravis is at risk of aspiration due to progressive weakness of the oropharyngeal muscles. Gravis causes weakness due to an autoimmune disease that affects the acetylcholine receptors. Metered dose inhaler for asthma. continuous passive motion machine for post op of joint surgery, external defibrillator for cardiac dysrhythmia

A nurse is updating the plan of care for a client who has dumping syndrome. Which of the following instructions should the nurse include? a) Consume beverages with meals b) Eat 3 large meals per day c) Include high fiber foods in the diet d) Eat a source of protein with each meals

d) Eat a source of protein with each meals

A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the nurse include in the client's plan of care? a) maintain the client's knees and hips in a flexed position b) apply cold compresses to painful joints c) withhold opioids until the crisis is resolved d) encourage increased fluid intake

d) encourage increased fluid intake To promote hydration because dehydration increased the sickling