ATI Chpts for Exam 6 MedSurg 1

A nurse is preparing to administer pancrelipase to a client who has pancreatitis. Which of the following actions should the nurse take?

Offer a glass of water following medication administration.

A nurse is providing instructions to a client who has Graves' disease and has a new prescription following for propranolol. Which of the information should the nurse include?

"Take your pulse before each dose."

A nurse is caring for a client who asks why the provider bases the medication regimen on HbA1c results instead of the log of morning fasting blood glucose results. Which of the following responses should the nurse make?

"HbA1c indicates how well you have regulated your blood glucose over the past 120 days".

A nurse is providing teaching to a client who has a new diagnosis of diabetes insipidus. Which of the following client statements indicates an understanding of the teaching?

"I might experience confusion or balance problems".

A nurse is completing preoperative teaching for a client who is scheduled for a laprascopic cholecystectomy. Which of the following should be included in the teaching?

"You might have shoulder pain after surgery"

A nurse is completing nutrition teaching for a client who has pancreatitis. Which of the following statements by the client indicates an understanding of the teaching?

-"I plan to eat small, frequent meals" -"I will eat easy-to-digest foods with limited spice" -"I will use skim milk when cooking"

A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following as indicators of hepatic encephalopathy?

-Change in orientation -Asterixis -Fetor hepaticus

A nurse is caring for a client who has (SIADH). Which of the following findings should the nurse inspect?

-Decreased blood sodium -Blood osmolarity 230 mOsm/L

A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client?

-Diuretic -Beta-blocking agent -Lactulose

A nurse is providing discharge teaching to a client who had diabetic ketoacidosis. Which of the following information should the nurse include about preventing DKA? (Select all that apply.)

-Drink 2 L fluids daily. -Monitor blood glucose every 4 hr when ill. -Administer insulin as prescribed when ill. -Report ketones in the urine after 24 hr of illness.

A nurse is assessing a client who is 12 hr postoperative following a thyroidectomy. Which of the following findings is indicative of thyroid crisis? (Select all that apply.)

-Dyspnea -Abdominal pain -Mental confusion

A nurse is providing discharge teaching for a client who had a transsphenoidal hypophysectomy. Which of the following instructions should the nurse include? (Select all that apply.)

-Eat a high-fiber diet. -Notify the provider of increased swallowing.

A nurse is presenting information to a group of clients about nutrition habits that prevent type 2 diabetes mellitus. Which of the following should the nurse include in the information? (Select all that apply.)

-Eat at regular intervals. -Decrease intake of saturated fats. -Increase daily fiber intake. -Include omega-3 fatty acids in the diet.

A nurse is reviewing the health history of a client who has diabetes mellitus type 2. Which of the following are risk factors for hyperglycemic hyperosmolar state (HHS)? (Select all that apply.)

-Evidence of recent myocardial infarction -BUN 35 mg/dL -Takes a calcium channel blocker -Age 77 years

A nurse is assessing a client who has diabetic ketoacidosis and ketones in the urine. The nurse should expect which of the following findings? (Select all that apply.)

-Fruity odor of breath -Abdominal pain -Kussmaul respirations -Metabolic acidosis

A nurse is reviewing the manifestations of tindings should the nurse include? hyperthyroidism with a client. Which of the following (Select all that apply.)

-Heat intolerance -Palpitations -Weight loss

A nurse is planning care for a client who has Cushing's disease. The nurse should identify that clients who have Cushing's disease are at increased risk for which of the following? (Select all that apply.)

-Infection -Gastric ulcer -Bone fractures

A nurse is teaching a client who has hepatitis B about home care. Which of the following instructions should the nurse include in the teaching?

-Limit physical activity -Avoid alcohol -Eat small frequent meals

A nurse is reviewing the health record of a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory findings should the nurse expect?

-Low sodium -Increased urine osmolality -High urine sodium -Increased urine specific gravity

A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply.)

-Medication should not be discontinued without the advice of the provider. -Follow-up blood TSH levels should be obtained. -Take the medication on an empty stomach.

A nurse is collecting an admission history from a client who has hypothyroidism. Which of the following findings should the nurse expect? (Select all that apply.)

-Menorrhagia -Dry skin -Hoarseness

A nurse in a provider's office is planning care for a client who has a new diagnosis of Graves' disease and a new prescription for methimazole. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

-Monitor CBC. -Monitor triiodothyronine (T3). -Advise the client to take the medication at the same time every day.

A nurse is providing medication teaching for a client who has Addison's disease and is taking hydrocortisone. Which of the following instructions should the nurse include? (Select all that apply.)

-Notify the provider of any illness or stress. -Report any manifestations of weakness or dizziness. -Do not discontinue the medication suddenly.

A nurse in an intensive care unit is planning care for a client who has myxedema coma. Which of the following actions should the nurse include? (Select all that apply.)

-Observe cardiac monitor for dysrhythmias. -Observe for evidence of urinary tract infection. -Initiate IV fluids using 0.9% sodium chloride. -Administer a levothyroxine IV bolus.

A nurse is admitting a client who has acute adrenal insufficiency. Which of the following prescriptions should the nurse expect? (Select all that apply.)

-Regular insulin -Hydrocortisone sodium succinate -Sodium polystyrene sulfonate -Furosemide

The nurse is providing discharge teaching for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following instructions should the nurse include?

-Resume a diet of choice -Cleanse the puncture site using mild soap and water -Report nausea and vomiting to the surgeon

A nurse is reviewing laboratory results for a client who has Addison's disease. Which of the following laboratory results should the nurse expect for this client?

-Sodium 130 mEq/L -Potassium 6.1 mEq/L -Calcium 11.6 mg/dL -Blood urea nitrogen (BUN) 28 mg/dL

A nurse is of a client who has reviewing the laboratory findings Cushing's disease. Which of the following findings should the nurse expect for this client? (Select all that apply)

-Sodium 150 mEq/L -Potassium 3.3 mEq/L -Calcium 8.0 mg/dL -Fasting glucose 145 mg/dL

A nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (Select all that apply.)

-Suction equipment -Humidified oxygen -Tracheostomy tray

A nurse is teaching foot care to a client who has diabetes mellitus. Which of the following information should the nurse include in the teaching? (Select all that apply.)

-Trim toenails straight across. -Wear closed-toe shoes.

A nurse is assessing a client during a water deprivation test. For which of the following complications should the nurse monitor the client?

Orthostatic hypotension

A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following lab findings should the nurse expect?

Positive EIA test.

A nurse is caring for a client who has blood glucose 52 mg/dL. The client is lethargic but arousable. Which of the following actions should the nurse perform first?

Provide 15 of simple g carbohydrates.

A nurse is planning to teach a client who is being evaluated for Addison's disease about the adrenocorticotropic hormone (ACTH) stimulation test. The nurse should base the instructions on which of the following?

ACTH is a hormone produced by the pituitary gland.

A nurse on a medical surgical unit is admitting a client who has hepatitis B with ascites. Which of the following actions should the nurse include in the plan of care?

Provide a high-calorie, high-carb diet.

A nurse is reviewing the medical record for a client who is to begin therapy for DKA. Which of the following prescriptions should the nurse expect?

Rapidly administer an IV infusion of 0.9% sodium chloride.

A nurse is preparing to administer a morning dose of insulin aspart to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?

Administer insulin when breakfast arrives.

A nurse is reviewing laboratory reports of a client who has HHS. Which of the following findings should the nurse expect?

Blood osmolarity 350 mOsm/L

A nurse is caring for a client who has primary adrenal insufficiency and is preparing to undergo an ACTH stimulation test. Which of the following findings should the nurse expect after an IV injection of cosyntropin?

No change in plasma cortisol

A nurse is reviewing risk factors with a client who has cholecystitis. The nurse should identify that which of the following as a risk factor for cholecystitis?

Obesity

A nurse in a provider's office is reviewing laboratory results of a client who is being evaluated for secondary hypothyroidism. Which of the following laboratory findings is expected?

Decreased T3

A nurse is caring for a client who has diabetes insipidus. Which of the following urinalysis lab findings should the nurse expect?

Decreased specific gravity

A nurse in a provider's office is reviewing the health record of a client who is being evaluated for Graves' disease. The nurse should identify that which of the following laboratory results is an expected finding?

Decreased thyroid-stimulating hormone (TSH)

A nurse in a clinic is reviewing the laboratory reports of a client who has suspected cholelithiasis. Which of the following is an expected finding?

Direct bilirubin 2.1 mg/dL

A nurse is preparing to administer morning doses of insulin glargine and regular insulin to a client who has a blood glucose 278 mg/dL. Which of the following actions should the nurse take?

Draw up and administer regular and glargine insulin in separate syringes.

A nurse is completing an admission assessment of a client who has pancreatitis. Which of the following findings should the nurse expect?

Epigastric pain radiating to the left shoulder

A nurse is caring for a client who is 6 hr postoperative following a transsphenoidal hypophysectomy. The nurse should test the ient's nasal drainage for the presence of which of the following?

Glucose

A nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse identify as a manifestation of pancreatitis?

Gray-blue discoloration of the skin around the umbilicus.

A nurse in a provider's office is assessing a client who recently began taking levothyroxine to treat hypothyroidism. Which of the following findings should indicate to the nurse that the client might need a decrease in the dosage of the medication?

Hand tremors

A nurse is reviewing the admission laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect?

Increased blood glucose level

A nurse is planning care for a client who has acromegaly and is postoperatively following a transsphenoidal hypophysectomy. Which of the following interventions should the nurse include in the plan?

Observe dressing drainage for presence of glucose.

A nurse is reviewing a new prescription for chenodiol with a client who has Cholelithiasis. Which of the following information should the nurse include in the teaching?

This medication dissolves gallstones gradually over a period of two years.

A nurse is reviewing the laboratory findings who might have hyperthyroidism. for a client The nurse should identify an elevation of which of the following substances as an indication that the client has this disorder?

Triiodothyronine

At the beginning of a shift, a nurse is assessing a client who has Cushing's disease. Which of the following findings is the priority?

Weight gain