ATI Med-Surg Proctored Exam Review, Answered

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ATI Med-Surg Proctored Exam Review, Answered-A home health nurse is caring for a client who has COPD. The client tells the nurse that he becomes short of breath while eating despite the use of home ox... ygen. What instructions should the nurse include? - Drink beverages at the end of meals A home health nurse is reinforcing teaching with a client about preventing complications of peripheral vascular disease. What statement by the client indicates that they are adhering to the nurse's instructions? - "I don't cross my legs anymore". A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the RN. The client reports dyspnea and urticaria. What action should the nurse perform first? - Stop the infusion A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. What instructions should the nurse include to promote comfort? - Sleep on a firm mattress A nurse is admitting a client who is suspected having active tuberculosis (TB). What action should should the nurse take first? - Institute airborne precautions A nurse is assisting in the care of a client who has manifestations of sepsis. What provider prescriptions should the nurse implement first? - Initiate oxygen at 4 L/min via nasal cannula A nurse is assisting in the plan of care for a client who has a recent left hemispheric stroke. What action should the nurse include in the plan? - Use simple verbal cues when directing tasks A nurse is assisting with an educational program for clients who have newly diagnosed with diabetes mellitus. What instruction should the nurse include in the program regarding insulin? - Opened insulin can be stored on a cool countertop away from light A nurse is caring for a client following a gastrectomy. What action should the nurse take to decrease episodes of dumping syndrome? - Place the client in the supine position after meals A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a surgical wound. What information should the nurse plan to share with visitors? - Visitors must don a gown & gloves prior to entering the client's room. A nurse is caring for a client who has a new cast on her left forearm and report severe pain in the affected arm with numbness in the fingers. The nurse finds the skin is pale and cold with sluggish capillary refill. What fracture complication should the nurse suspect? - Compartment syndrome A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. While taking the client's apical pulse, the nurse notes a rate of 58/ min. What action should the nurse take? - Withhold the dose A nurse is caring for a client who has an intestinal obstruction & reports a new onset of nausea. The client has an NG tube set at low intermittent suction & is receiving continuous IV infusion of 0.9% sodium chloride. What action should the nurse take first? - Check for kinks in the NG tube A nurse is caring for a client who has dementia due to Alzheimer's disease. What action should the nurse take to reduce the client's confusion? - Encourage reminiscence of past experiences A nurse is caring for a client who has meningococal pneumonia. Which of the following personal protective equipment should the nurse use? - Mask (this disease requires droplet precautions) [Show More]

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