ATI Terminology #4

A nurse is caring for a client who has had a myocardial infarction. Upon his first visit to cardiac rehabilitation, he tells the nurse that he doesn't understand why he needs to be there because there is nothing more to do, as the damage is done. Which of the following is the correct nursing response?

"Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely."

A nurse is teaching a middle-age client about hypertension. Which of the following information should the nurse include in the teaching?

"Diuretics are the first type of medication to control hypertension."

A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?

"I may eat 10 ounces of lean protein each day."

A nurse is providing teaching about the Mediterranean diet to a client newly who has a new diagnosis of hypertension. Which of the following statements by the client indicates a need for further teaching?

"I will limit my intake of red meat to twice weekly."

An occupational health nurse is conducting an educational presentation about Healthy People 2030. Which of the following does the nurse include in the presentation as overarching goals of Healthy People 2030?

-attain healthy, thriving lives and well-being free of preventable disease, disability, injury, and premature death - Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all -Promote healthy development, healthy behaviors, and well-being across all life stages

A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.)

-dyspnea -nausea -tachycardia -diaphoresis

A nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease? Select all that apply.

-history of hypertension -history of smoking -cholesterol level

A nurse is teaching a client about the benefits of exercise. Which of the following information should the nurse include?

-improves sleep -decreases stress -increases mood

A nurse is teaching a client about risk factors for heart disease. Which of the following risk factors is modifiable?

-smoking -exercise -diet

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

12-lead ECG

A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?

Ask the client to agree to talk to a nurse whenever she feels the urge to exercise.

A nurse is caring for a client who has an irregular heart rate. Which of the following actions should the nurse take?

Auscultate the client's apical pulse.

An assistive personnel (AP) reports a client's vital signs as tympanic temperature 37.1° C (98.8° F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure?

BP

A nurse at a community center is preparing to provide wellness education for a community group that is 70% Black, 20% Hispanic, and 10% White. Which of the following outcomes should the nurse include in the class?

By the end of the teaching session participants will be able to list three ways to reduce cholesterol levels in their current diet.

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?

Document this as an expected finding

A nurse is teaching a client about health promotion strategies. Which of the following statements should the nurse make?

Drink 2 large glasses of water when you wake up each day."

A nurse is providing an in-service on the Healthy People 2030 framework. Which of the following information should the nurse include?

Establishes health objectives for Americans

A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?

Move any clients in the immediate vicinity.

A nurse is creating a community wellness program for a group of community members who have been identified as having an increased risk of developing hypertension. Which of the following actions should the nurse include as secondary prevention?

Obtain blood cholesterol levels

A nurse is teaching a client about nutritional supplements. Which of the following supplements is used to promote heart health?

Omega-3 fatty acids

A nurse is teaching a client who is at risk for heart disease. Which of the following instructions should the nurse include?

Perform meditation to reduce stress.

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?

Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart.

A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take?

Use intermittent eye contact.

A nurse is caring for a client who has hypertension and is afraid to take his blood pressure medication. Which of the following nursing statements is an example of the therapeutic communication response of reflection?

You seem upset about taking your blood pressure medication.

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

assessment

A nurse is performing a blood pressure screening for a client who has a family history of hypertension. Which of the following concepts is the nurse demonstrating?

disease prevention

A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions?

falsification

A nurse is providing teaching to a client about smoking cessation. Which of the following client statements indicates a need for further education?

"I will test my ability to quit smoking by going to the bar where I used to smoke."

A nurse is caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis?

vertigo

A nurse is assisting an older adult client who is sedentary plan a new exercise regimen. Which of the following activities should the nurse recommend?

walking

A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?

"Daily jogging for up to 30 minutes is fine throughout the pregnancy."

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

"Tell me more about these fears of dying from a heart attack."

A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)

- troponin I - troponin T - CPK - Myoglobin

A nurse is responding to a client diagnosed with acute trauma disorder following the sudden death of their child. The client is pacing, wringing their hands, and crying stating "I am just so angry!" The client's vital signs are heart rate 108/min, blood pressure 142/82 mm Hg, and respiratory rate 24/min with shallow respirations. Which of the following nursing actions should the nurse take?

-Keep hands where the client can see them -Acknowledging what the client is experiencing and willingness to help -Ensure the client has adequate personal space

A nurse case manager for an employer-sponsored health insurance plan is implementing a program to control costs associated with hypertension. Which interventions should the nurse implement to help with cost control on a tertiary prevention level?

-Medication adherence program -Walking program for employees who have hypertension

A nurse is caring for a client who has hypertension and develops epistaxis. Which of the following actions should the nurse take? (Select all that apply.)

-apply pressure to nares -place ice on nose -move the client to high Fowler's position

A nurse is teaching a client who is experiencing stress about implementing an exercise regime. The nurse should include that endorphins produced from exercise will have which of the following effects for this client?

Cause an antidepressant effect comparable to selective serotonin reuptake inhibitors.

A nurse is planning a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?

Clinical practice guidelines for the management of high blood pressure

A community health nurse is searching for data about health behaviors related to smoking and exercise. Which of the following resources should the nurse use to find data about health behaviors in their local area?

County Health Rankings

Which of the following theories or models looks only at the internal factors that motivate a person to adopt healthier lifestyle habits?

Health Belief Model

A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart healthy diet. Which of the following concepts is the nurse demonstrating to the client?

Health promotion

A nurse is caring for a client who is experiencing an elevated blood pressure and an increased heart rate. The client states, "Financial problems are causing issues in my marriage and I am afraid that I might get laid off from my job." Which of the following actions should the nurse take first?

Instruct the client to take slow and deep breaths using abdominal muscles.

A nurse intercepts a messenger at the nurses' station who has a flower delivery for a client on the unit. As the nurse accepts the flowers, the messenger says, "I know Mrs. Welch from the neighborhood. What happened to her?" Which of the following responses should the nurse provide?

It's my responsibility to remind you that we have to respect our clients' privacy."

A nurse in a provider's office is assessing a client who reports occasional atypical chest pain, palpitations, and exercise intolerance. On auscultation, the nurse notes a systolic click. The nurse should recognize this finding as a manifestation of which of the following conditions?

Mitral valve prolapse

A nurse is conducting a formative evaluation of a smoking cessation program. Which of the following metrics should the evaluation include?

Number of people who have attended smoking cessation workshops since program implementation

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

Obstructive sleep apnea (OSA)

A nurse palpates a client's radial pulses bilaterally and notes the client's right radial pulse is bounding, and the client's left radial pulse is as expected. The client's heart rate is 80/min. Which of the following documentations should the nurse make?

Right radial pulse 4+, 80/min, palpated

A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse delegate to the licensed practical nurse (LPN)?

Scheduling a diagnostic study for a client

A nurse is interviewing a client who wants to start an exercise regimen. Which of the following client behaviors indicates that the nurse has successfully focused with the client?

Talks about how a lack of exercise has impacted their relationship with their partner

A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

The client will share their exercise log with an identified support person.

A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?

The client will walk for 30 min 5 days a week.

A nurse is talking with a client who is beginning a program of moderate exercise. The client asks the nurse why warm-up exercises are necessary. Which of the following responses should the nurse make?

Warm-up exercises reduce the risk of injury.

An occupational health nurse is implementing some tertiary levels of prevention in the workplace. Which of the following interventions are tertiary interventions?

Working with the floor manager to decide on some light duty work for a nurse aid who is recovering from a broken ankle

A nurse is caring for a client who requests nonpharmacological assistance with smoking cessation. Which of the following therapies should the nurse recommend?

hypnotherapy

While auscultating a client's heart sounds, the nurse hears turbulence between the S1 and S2 heart sounds. The nurse should document this finding as which of the following?

systolic murmur