Final Ati questions

A nurses is teaching a client who has lupus about a new prescription for oral glucocorticoid therapy. Which following client statements indicates and understanding of the teaching?

"I should take a calcium supplement while on this medicine."

A nursing emergency department is a meeting a child who has full thickness burns over 45% of his body. Which of the following action should the nurse take first?

Administer IV fluid replacement

A nurse is performing an admission assessment for a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first?

Ask the client to identify the specific food allergies

A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first?

Check the clients electrolytes values

A nurse is assessing a client who is receiving peritoneal dialysis. Which of the following financial the nurse report to provider immediately?

Cloudy effluent

A nurse is reviewing the laboratory report of a client who has chronic kidney disease. The nurse finds the following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, phosphate 4.8. Which findings is the priority for the nurse to report to the provider?

Hyperkalemia

A nursing is caring for an infant who is postoperative following a myelomeningocele repair. Which of the following is the priority action the nurse should take?

Measure the infant's the infant's head circumference

A nurse is caring for a client who has a closed traumatic brain injury and is experiencing ICP. This increased in IPC is due to which of the following?

Rigid skull containing cranial contents

A nurse is admitting a child who has Wilm's tumor. Which of the following actions should the nurse take?

Put a "no abdominal palpation" sign over the child's bed

A nurse is planning discharge teaching by client who has lupus. Which of the following instructions of the Nurse include?

"Monitor your body temperature and report any elevations promptly."

A nurse is providing teaching about poisoning prevention to a group of parents with toddlers. Which of the following statements should the nurse make?

"Put all cleaning supplies in a locked cabinet."

A nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of the test. Which of the following responses should the nurse provide?

"The test shows us if your child had a recent strep infection."

A nurse is providing discharge teaching to parents whose infant had a ventriculopertineal shunt placement for the treatment of hydrocephalus. Which of the following statements by the parents indicates an understanding of the teaching?

"We will notify the doctor right away if he has a fever."

And teaching a female client who has a pyelonephritis about the disorder. Which of the following pieces of information should the nurse include to help the client prevent a recurrence?

"Wipe from front to back after defecation."

A nurse is teaching a client who has an allergic rhinitis about new prescription for brompheniramine. Which of the following pieces of information should the nurse include in the teaching?

"You might find that you develop a dry mouth."

A nurse is teaching a client who has acute pyelonephritis. Which of the following instructions should the nurse include in the teaching?

"You should complete the entire cycle of antibiotic therapy"

A nurse is caring for a client who has lupus and is concerned about skin lesions on my face and neck. The client asked the nurse, "what should I do about the spots?" Which of the following responses should the nurse give?

"apply moisturizer after bathing the lesions with warm water"

A school nurse is assessing a child who has been stung by a bee. The child's hand swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (Select all that apply.)

-Hypertension -Urticaria -Stridor

I know he's in meeting a client who has multiple myeloma and a white blood cell count of 2200. Which of the following should the nurse prohibit the family members bringing to the client?

A fresh fruit basket

A nurse is teaching a client about UTIs. Which of the following manifestations should the nurse include?

Back pain

A nurse is teaching a client who has extensive deep partial and full thickness burrns and requires a topical antimicrobial medication. The goal of this medication therapy is to reduce which of the following outcomes?

Bacterial growth

Nurses performing and preoperative assessment of a client about to undergo a cholecystectomy. The nurse should identify a risk for latex allergy when the client reports an allergy to which of the following foods?

Bananas

A nurse is providing dietary teaching to a client who has late-stage chronic kidney disease. Which of the following nutrients should the nurse instruct client to increase in her diet?

Calcium

A narc is assessing an infant who has acute Gastroenteritis. Which of the following found the nurse identify as the priority?

Capillary refill 5 seconds

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the client's dialysate output is less than the input and the diameter is distended. Which of the following action should the nurse take?

Change the client position

A nurse is caring for a child who has a cute glomerulonephritis. Which of the following actions should the nurse take?

Check the child's blood pressure every 4 hours

A nurse is caring for a child who has electrical burns on the lower arms and hands. Which of following findings indicate the child is experiencing a complication of the injury?

Dark urine

A nurse is reviewing the laboratory findings of a client who has protein-calories malnutrition. Which of the following findings should the nurse expect?

Decreased albumin

A nurse is monitoring a newborn for indications of septic shock. Which of the following findings should the nurse expect if the newborn develops this complication?

Decreased blood pressure

A nurse is caring for a client who has a cute glomerulonephritis and a prescription for furosemide. The nurse monitor the client for which of the following therapeutic effects of the medication?

Diuresis

A nurse is reinforced in teaching with a newly licensed nurse about contradictions to vaccines. Which of the following examples should the nurse provide as true contraindication for all vaccines?

Moderate illness without a fever

A nurse is caring for a client who has full-thickness burns covering 63% of her body and smoke inhalation. Which of the following nursing actions is the top priority?

Monitor respiratory status

A nurse is planning Care for a client following a stroke. Which of the following interventions should the nurse identify as the priority in the client's plan of care?

Monitor the client client for increased ICP

Nurse is caring for a client who is scheduled to receive parental dialysis. Which action should the nurse take?

Warm the dialysate solution prior to administration

A postpartum nurses came for a client who has developed hemorrhagic shock which of the following manifestation should the nurse expect?

Weak and irregular pulse

A nurse just came for a child who has glomerulonephritis. Which of the following in action should the nurse take?

Weigh the child once each day

A nurse is caring for a client who has asthma and allergic rhinitis. The client is taking theophylline. Which of the following medication should the nurse identify as being incompatible with theophylline?

Zafirlukast

A nurse is planning care for a client who has deep partial thickness and full thickness thermal burns over 40% of his total body surface and is in the acute phase of burn injury. Which of the following interventions should the nurse include in the plan?

initiate range of motion exercises

A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates not understanding of the teaching?

"I will lock my medications in the medicine cabinet."

A nurse just came for a client who is receiving peritoneal dialysis. The nurse note that the client dialysate output is less than the input and that his abdomen is distended. Which of the following actions should the nurse take?

Change the clients position

Nurse in the emergency department is assessing a client who has extensive burns, including on her face which of the following assessment should a nurse perform first?

Characteristics of the cough and sputum

A nurse in an emergency department is caring for a 4 year old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first?

Determine the child's breathing pattern

A nurse came for a client who is two hours postpartum and is exhibiting signs of hypovolemic shock. Which of the following action should the nurse take?

Elevate the clients legs to 30° angle

A nurses revealing the laboratory data of a client who reports manifestations suggesting lupus. The nurse should expect an increase in which of the following parameters for a client who has lupus?

Erythrocyte sedimentation rate (ESR)

A nurse is reviewing the laboratory results of a client who has end-stage renal disease and reports fatigue. The client's hemoglobin level is 8. The nurse should expect a prescription for which of the following medications?

Erythropoietin

A nurse is teaching a female client with a new diagnosis of lupus about factors that can trigger and exacerbation of lupus. The nurse of determine the client requires further teaching if she identifies which of the following as an exacerbation factor?

Exercise

A nurse just came for a client with dehydration who has developed hypovolemic shock. Which of the following laboratory value should the nurse expect for the client?

Hct 55%

A nurse is caring for a school-aged child who has acute post-streptococcal glomerulonephritis. Which of the following manifestations should the nurse expect?

Hematuria

A nurse is caring for a client who underwent radioallergosorbent (RAST) testing due to sensonal allergies. The nurse should anticipate an elevation in which of the following immunoglobulin laboratory values?

IgE

A nurse is teaching a client about the manifestations of an allergic reaction. Release of histamine causes which of the following reactions?

Increased mucus secretion

A nurse is teaching a client with lupus who has a prescription for prednisone. The nurse instruct the client to monitor for which of the following adverse effects of this medication?

Infection

A nurse is preparing an in-service program about the stages of acute kidney injury. Which of the following pieces of information should the nurse include about prerenal AZOTEMIA?

Interfence with renal perfusion causes prerenal azotemia

A charge nurse is teaching a newly licensed nurse about a client who has a severe allergy related asthma, and a new prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medicines mechanism of action?

It reduces the number of immunoglobulin E (IgE) molecules on mast cells.

A nurse is providing discharge teaching to the parents of a child who have nephrotic syndrome. Which of the following instructions should include in the teaching?

Keep the child away from people who have an infection

A nurse is teaching a client who has chronic kidney disease. Which of the following instructions should the nurse include?

Limit fluid intake

A nurse is caring for a 2-dat old infant who has myelomeninigocle. Which of the following actions should the nurse take?

Monitor the infant's head circumference

A nurse is admitting a client who has unstable angina. Which of the following medication should the nurse anticipate administering to the client?

Nitroglycerin

A nurse is assessing a client who has acute kidney injury. According to the RIFLE classification system, which of the following findings indicates that the client has end-stage kidney disease?

No urine output without renal replacement therapy for more than 3 months

A nurse is caring for an adolescent who has end-stage renal disease and scheduled for peritoneal dialysis. Which is a fallen action should the nurse take?

Obtain the adolescent's weight prior to the procedure

A narcissist, assessing our school, each child, who has glomerulonephritis. Which of the following police station should the nurse expect?

Periorbital edema

A nurse is caring for an 8 year old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Periorbital edema

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which following adverse effect?

Peritonitis

A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for a children who have a viral infection due to the risk of developing which of the following adverse effects?

Reye's syndrome

A nurse in the emergency department is caring for a client who has a domino trauma. Which of the following assessment findings should the nurse identify as an indication of hypovolemic shock?

Tachycardia

A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects?

Tachycardia

A nurse is assessing a client who is receiving, continuous, ambulatory peritoneal dialysis. Which of the following findings of the nurse report to the provider?

Potassium 3.0

A nurse is checking the laboratory values of a client who has chronic kidney disease. The nurse should expect elevations in which of the following values?

Potassium and magnesium

A nurse is teaching a client who has chronic kidney disease about pre-dialysis dietary recommendations. The nurse should recommend restricting the intake of which of the following nutrients?

Protein

A nurse is caring for a client who has chronic kidney disease. The kidneys regulate body fluids as well as assisting with which of the following functions?

Regulation of acid-base balance

A nurse is caring for a four-year-old child who has superficial partial thickness burns over 50% of his body. To meet nutritional needs of the child which of the following actions should the nurse plan to take?

Supplement the child's feedings with eternal feedings

A nurse is assessing a client who sustained superficial partial-thickness and deep partial-thickness burn 72 hr ago. Which of the following findings should the nurse report to the provider?

Temperature of 102.4F

A nurse is assessing a client with a closed head injury who has received mannitol for manifestations of ICP. Which of the following findings indicates that the medication is having a therapeutic effect?

The client's serum osmolarity is 310 mOm/L

Nurse is providing discharge teaching to a client who has a new diagnosis of lupus. Which of the following statements by the client indicates an understanding of the teaching?

"I will need to take methotrexate, even if I'm in remission."

A nurse teaching a client who tested positive for an allergy to dust. The nurse should determine that the client understands how to reduce her exposure to the allergen which of the following statements?

"I will put a mattress cover over my bed."

A nurse is caring for a client who is hypovolemic shock while waiting for a unit of blood. The nurse should administer which of the following IV solutions?

0.9% sodium chloride

A nurse is caring for a child who adheres to a vegetarian diet and has sustained superficial partial-thickness burns. The nurse should recommend which of the following choices due to high protein content?

1/2 cup of peanut butter with apple slices

A nurse has came from school at his child who has glomerulonephritis. The child has decreased urinary output in a blood pressure of 160/78 and is receiving hydralazine. Which of the following choices should the nurse recommend?

3oz grilled chicken, 1 cup of pear slices, and 4oz of apple juice

A nurse is assessing a school age child after ventriculoperitoneal (VP) shunt replacement. Which of the following findings indicates a complication of this procedure?

Abdominal distention

A nurse just came for a child who is in emergency department after ingesting a bottle of acetaminophen. Which of the following medication should the nurse plan to administer?

Acetylcysteine (mucomyst)

A nurse administered an antibiotic 10 min ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first?

Administer epinephrine subcutaneously

A nurse is planning care for a client who has acute lupus, and is scheduled to begin treatment for systematic manifestations. Which of the following types of medication should the nurse plan to administer?

Corticosteroids

A nurse is teaching the parent of an infant about food allergens. Which of the following is the most common food allergy and children?

Cow's milk

A nurse, an emergency department is caring for two-year-old child who is found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is drooling which of the following is the priority action by the nurse?

Check the child's respiratory status

A nurse has received a prescription for dextran to administer to a client. The nurse of recognize that Dextran belongs in which of the following functional classifications?

Plasma volume expanders

A nurse is assessing client who is receiving hemodialysis for the first time. Which of the following finding indicates that the client is developing dialysis disequilibrium syndrome (DDS)?

Headache

A nurse is assessing an infant who is at risk ICP. Which of the following findings should indicate to the nurse that this complication is developing?

High pitched cry

A nurse is teaching a newly hired nurse about caring for an infant who is postoperative following myelomeningocele repair. The nurse nurse should teach newly hired nurse to monitor the infant for which of the following complications?

Hydrocephalus

A nurse is caring for a child who has chronic glomerulonephritis with oliguria. For which of the following electrolyte imbalances should the monitor?

Hyperkalemia

A nurse is caring for a client who has chronic kidney glomerulonephritis with oliguria. For which of the following electrolytes imbalances should the nurse monitor?

Hyperkalemia

Nurses reviewing the laboratory findings of a client who has chronic kidney disease. The client reports significant persistent, nausea and muscle weakness. Which of the following findings should the nurse expect?

Hyperkalemia

A nurse is caring for a client who is receiving intermittent perineal dialysis. The nurse observes that the perineal fluid is not adequately draining. Which is the following action should the nurse take?

Turn the client from side to side