ATI Capstone Med Surg

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A nurse is reviewing the r/f of osteoporosis with a group of pts, the nurse should instruct

which of the following increases the risk of developing osteoporosis

- Early menopause

A nurse is providing discharge teaching to a pt who has multiple sclerosis, what

instruction should the nurse include in the teaching

- It is important to develop a daily schedule that reduces fatigue and

conserves energy

A nurse is caring for a pt admitted with wheezing and coughing due to an allergic

reaction to a newly prescribed medication, what medication should be administered first?

- Albuterol 3ml via nebulizer

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A nurse is reviewing lab values for a client who has Cushing’s disease, what values should

the nurse expect

- Sodium 150

A nurse is caring for a female client in the ed who reports sob and pain in the lung area,

she states that she started taking bc pills 3 weeks ago and that she smokes, her heart rate

is 110/min, rr 40/min, and bp 140/80, her ABGs are ph. 7.50, paco2 29, pao2 60, hco3

20, sao2 86%, what is the priority of nursing interventions

- Administer oxygen via face mask 

A nurse is providing teaching to a pt who has a new onset of genital herpes, what

statement should the nurse include in the teaching

- Stress can activate an outbreak

A nurse is caring for pt who is postop following a total laryngectomy with radical neck

dissection the nurse notes that the client is restless with a respiratory rate of 26/min and

audible gurgling, what is a priority action by the nurse

- Suction the client's tracheostomy

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A nurse is assessing a pt who has right lower lobe pneumonia, what finding should the

nurse expect?

- Dull percussion sounds

A nurse is caring for a pt who is using a ventilator when the low-pressure ventilator

alarm sounds, what actions should the nurse take?

- Check the ventilator tubing connections

A nurse is providing discharge teaching to a pt who has heart failure and a prescription

for furosemide 20 mg po two times a day, what instruction should the nurse include in

the teaching

- Increase the intake of high potassium foods

A nurse is providing discharge instructions to a pt who is to perform dressing changes to

an incision at home, what statements by the pt indicates an understanding of the teaching

- "I should wash my hands before both removing and applying the dressing"

A nurse is teaching a pt about using a CPAP, to treat obstructive sleep apnea, what should

the nurse include in teaching

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- It delivers a preset amount of airway pressure throughout the breathing

cycle 

A nurse is assessing a pt who is postop following an abdominal aortic aneurysm

resection, what finding should the nurse report to the provider?

- Decreased urine output

A nurse is assessing a pt who has DKA, what finding would the nurse expect?

- Fruity breath

A nurse is assessing a pt who is postop following a kidney transplant, what finding

indicates the client is experiencing a transplant rejection

- Hypertension

A nurse is assessing a pt who has a sodium level of 122, what findings should the nurse

expect

- Decreased deep-tendon reflexes

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A nurse is assessing a pt who has meningitis, the nurse should identify which of the

following findings as a positive Kernig’s sign

- After hip flexion, the pt is unstable to extend his leg completely without pain

A nurse is assessing a female pt who reports severe joint pain, the nurse should identify

which of the following factors places the pt at risk for gout

- Diuretic use

A nurse is caring for a pt who has a cervical spinal cord injury, what interventions should

the nurse include in the plan of care to prevent autonomic dysreflexia

- Monitor bowel movement regularity

A nurse is caring for an adult client who asks about vaccinations against communicable

diseases, the nurse should inform the client that which of the following vaccines are

available

- Hep a, hep b, pneumococcal

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