Description

ATI RN MEDSURG PROCTORED EXAM RATIONALE TEST BANK WITH 100 QUESTIONS AND ANSWERS EXPERT VERIFIED 33) A nurse is providing teaching to a client who has DVT. Which of the following findings should the nurse identify as a risk factor for the development of DVTs? a. Hypertension b. Cirrhosis c. NSAIDS use d. Oral Contraceptive Use (Rationale: page 141 of ATI Book 2016) 34.A nurse is caring for client who has Cushing’s disease. Which of the following actions should the nurse take first? (Click Exhibit button for additional information) a. Check the client’s medication administration record for antihypertensive medication. b. Verify the client’s understanding of sodium restriction. c. Auscultate the client’s lung sound d. Determine the need for further glucose monitoring. Rationale: Unable to answer. Can’t see the exhibit. But on the chapter of Cushing disease they talk about monitoring of glucose. The rest are not stated in the chapter. 35.A nurse is assessing a client who has nephrotic syndrome. Which of the findings should the nurse expect? A.Proteinuria B.Flank pain C.Hyperalbuminemia D.Hypotension Rationale: Lewis book page 1075. Clinical manifestation of N.S.: peripheral edema, massive proteinuria, HTN, hyperlipidemia, and hypoalbuminemia. 36.A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find? a. Oliguria (Left) b. S3/S4 galloping heart sounds (Left) c. Poor skin turgor d. Pitting edema Rationale: Page 198 Chapter 32 of ATI Book. 37.A nurse is caring for a client who has newly inserted chest tube. The nurse should clarify which of the following prescriptions with the provider? A.Notify the provider when tidaling ceases. (Yes notify) B.Assisting the client out of bed three times daily. C.Vigorously strip the chest tube twice daily. (VIGOROUSLY and TWICE A DAY) D.Administer morphine 2 mg IV bolus every 3 hr PRN for pain. (Don’t need to clarify) Rationale: Page 104 chapter 18 of ATI Book it says that: “Do not strip or milk tubing; only perform when prescribed. Stripping creates a high negative pressure and can damage lung tissue.” 38.A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of the following instructions should the nurse include for home management of heart failure? A,Obtain daily weight. B.Use of salt substitute. (Avoid it) C.Monitor I and O. D.Limit daily activity. Rationale: Pg 199 ATI Book. 39.A nurse is providing discharge teaching to a client who has a permanent pacemaker. Which of the following statements by the client indicates an understand of the teaching? A.I need to maintain pressure over the pacemaker site with an elastic bandage. B.I need to check my pulse rate every day for a full minute. C.The pacemaker will deliver shock if I develop a dysrhythmia