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ati medsurg
Nursing
| Question | Answer |
|---|---|
| Pt with type 2 diabetes and reports difficulty following the diet and prescribed medication. Which of the following actions should the nurse take to promote client compliance? all that apply | A.Ask the dietitian to assist with meal planning.B.Contact the client’s support system. D.Encourage the use of a daily medication dispenser.E.Provide educational materials |
| A nurse in a health care clinic is evaluating the level of wellness for clients using the illness‑wellness continuum tool. The nurse should identify which of the following clients as being at the center of the continuum? | A young male client who has a long history of well‑controlled rheumatoid arthritis |
| A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. The nurse should identify which of the following variables as modifiable? (Select all that apply.) | A.Smoking on social occasions B.BMI of 28 E. E.History of reflux |
| A nurse is caring for a client who is postprocedure following lumbar puncture and reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply.) | B. Assist the client to a supine position. C. Administer an opioid medication. D. Encourage the client to increase fluid intake. |
| client who experienced a traumatic head injury and has an intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy? | B. Infection |
| A nurse is assessing a client for changes in the level of consciousness using the Glasgow Coma Scale (GCS). The client opens his eyes when spoken to, speaks incoherently, and moves his extremities when pain is applied. | B. E3 + V4 + M4 = 11 |
| A nurse is developing a plan of care for a client who is scheduled for cerebral angiography with contrast dye. Which of the following statements by the client should the nurse report to the provider? (Select all that apply.) | A. “I think I might be pregnant.” B. “I take warfarin.” D.“I am allergic to shrimp.” E. “I ate a light breakfast this morning.” |
| A nurse is providing education to a client who is to undergo an electroencephalogram (EEG) the next day. Which of the following information should the nurse include in the teaching? | B. “Try to stay awake most of the night prior to the procedure.” |
| A nurse is assessing the pain level of a client who came to the ED reporting severe abdominal pain. The nurse asks the client whether he has nausea and has been vomiting. The nurse is assessing which of the following components of a pain assessment? | A. Presence of associated manifestations |
| A nurse is assessing a client who is reporting pain despite analgesia. Which of the following actions should the nurse take to assess the intensity of the client’s pain? | C. Offer the client a pain scale to measure his pain. |
| A nurse is caring for a client who is receiving morphine via a patient‑controlled analgesia (PCA) infusion device after abdominal surgery. Which of the following client statements indicates that the client understands how to use the device? | C.“I should tell the nurse if the pain doesn’t stop after I use this device.” |
| A nurse is discussing pain assessment with a newly licensed nurse. Which of the following information should the nurse include? | D. Pain is whatever the client says it is. |
| A nurse is monitoring a client who is receiving opioid analgesia. Which of the following findings should the nurse identify as adverse effects of opioid analgesics? (Select all that apply.) | C. Bradypnea D. Orthostatic hypotension E. Nausea |
| A nurse is assessing a client who reports severe headache and a stiff neck. The nurse’s assessment reveals positive Kernig’s and Brudzinski’s signs. Which of the following actions should the nurse perform first? | B. Implement droplet precautions |
| A nurse is assessing for the presence of Brudzinski’s sign in a client who has suspected meningitis. Which of the following actions should the nurse take when performing this technique? (Select all that apply.) | A. Place client in supine position. C. Place hands behind the client’s neck. D. Bend client’s head toward chest. |
| A nurse is planning care for a client who has meningitis and is at risk for increased intracranial pressure (ICP). Which of the following actions should the nurse plan to take? (Select all that apply.) | A. Implement seizure precautions. D. Turn off room lights and television. E. Monitor for impaired extraocular movements. |
| A nurse is reviewing the use of the meningococcal vaccine (MCV4) for the prevention of meningitis with a newly licensed nurse. Which of the following information should the nurse include? | C. The vaccine is recommended for adolescents before starting college. |
| A nurse is planning care for a client who has bacterial meningitis. Which of the following actions should the nurse include in the plan of care? (Select all that apply.) | B. Provide an emesis basin at the bedside. C. Administer antipyretic medication. D. Perform a skin assessment |
| A nurse is reviewing a prescription for dexamethasone with a client who has an expanding brain tumor. Which of the following are appropriate statements by the nurse? (Select all that apply.) | A. “It is given to reduce swelling of the brain.” C.“You may notice weight gain.” E. “It can cause you to retain fluids.” |
Created by:
marianmu