ATI Chapter 15 Show
Chapter 17 Questions
c. Obtain ABG’s. d. Administer benzocaine spray. 2. A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results are pH 7, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that the client is experiencing which of the following acid-base imbalances? a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis 3. A nurse is assessing a client following bronchoscopy. Which of the following findings should the nurse report to the provider? a. Blood-tinged sputum b. Dry, nonproductive cough c. Sore throat d. Bronchospasms 4. A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should the nurse ensure are in the client’s room? (Select all that apply.) a. Oxygen equipment b. Incentive spirometer c. Pulse oximeter d. Sterile dressing e. Suture removal kit 5. A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the nurse recognize as risks for complications? (Select all that apply.) a. Dyspnea b. Localized bloody drainage on the dressing c. Fever d. Hypotension e. Report of pain at the puncture site Chapter 18 Questions
e. Elevation blood pressure. 3. A nurse is orienting a newly licensed nurse on performing routine assessment of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following information should the nurse include in the teaching? a. Apply a vest restraint if self-extubation is attempted. b. Monitor ventilator settings ever 8 hours. c. Document tube placement in centimeters at the angle of jaw. d. Assess breath sounds every 1 to 2 hours. 4. A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which of the following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client? a. Nonrebreather mask b. Venturi mask c. Nasal cannula d. Simple face mask 5. A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following modes of ventilation that increase the effort of the client’s respiratory muscles should the nurse include in the plan of care? (Select all that apply.) a. Assist-control b. Synchronized intermittent mandatory ventilation c. Continuous positive airway pressure d. Pressure support ventilation e. Independent lung ventilation Chapter 20 Questions
c. Obtain a complete history from the client. d. Provide a pneumococcal vaccine. 3. A nurse is caring for a client who has pneumonia. Assessment findings include temperature 37 C (100 F), respirations 30/min, blood pressure 130/76, heart rate 100/ min, and SaO2 91% on room air. Prioritize the following nursing interventions. a. Administer antibiotics. (3) b. Administer oxygen therapy. (1) c. Perform a sputum culture. (2) d. Administer an antipyretic medication to promote client comfort. (4) 4. A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should the nurse use to identify manifestations of this disorder? a. Percussion of posterior lobes of lungs b. Auscultation of the trachea c. Inspection of the conjunctiva d. Palpation of the orbital areas 5. A nurse is teaching a group of clients about influenza. Which of the following client statements indicates an understanding of the teaching? a. “I should wash my hands after blowing my nose to prevent spreading the virus.” b. “I need to avoid drinking fluids if I develop symptoms.” c. “I need a flu shot every 2 years because of the different flu strains.” d. “I should cover my mouth with my hand when I sneeze.” Chapter 21 Questions
Chapter 23 Questions
Chapter 24 Questions
e. Paradoxic chest movement Chapter 26 Questions
e. Dexamethasone Chapter 27 Questions
Chapter 31 Questions A nurse is admitting a client who has a suspected myocardial infarction (MI) and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI? a. Angina can be relieved with rest and nitroglycerin. b. The pain of an MI resolves in less than 15 minutes. c. The type of activity that causes and MI can be identified. d. Angina can occur for longer than 30 minutes. 2. A nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of myocardial infarction (MI) and reports that his dyspnea began 2 weeks ago. Which of the following cardiac enzymes would confirm the MI occurred 14 days ago? a. CK-MB b. Troponin I c. Troponin T d. Myoglobin 3. A nurse is caring for a client who asks why her provider prescribed her daily aspirin. Which of the following is an appropriate response by the nurse? a. “Aspirin reduced the formation of blood clots that could cause a heart attack.” b. “Aspirin relives the pain dur to myocardial ischemia.” c. “Aspirin dissolves clots that are forming in your coronary arteries.” d. “Aspirin relives headaches that are caused by other medications.” 4. A nurse is teaching a client who has angina about a new prescription for metoprolol. Which of the following statements by the client indicates understanding of the teaching? a. “I should place the tablet under my tongue.” b. “I should have my clotting time checked weekly.” c. “I will report any ringing in my ears.” d. “I will call my doctor if my pulse rate is less than 60.” 5. A nurse is presenting a community education program on recommended lifestyle changes to prevent angina and myocardial infarction. Which of the following changes should the nurse recommend be made first? a. Diet modification b. Relaxation exercises c. Smoking cessation d. Taking omega-3 capsules Chapter 32 Questions
a. Obtain the client’s weight. b. Assist the client into high-Fowler’s position. c. Auscultate lung sounds. d. Check oxygen saturation with pulse oximeter. 2. A nurse is teaching a client who has heart failure about the need to lmit sodium in the diet to 2,000 mg daily. Which of the following foods should the nurse recommend for the client? (Select all that apply.) a. 1 slice cheddar cheese b. 1 medium beef hot dog c. 3 oz Atlantic salmon d. 3 oz roasted chicken breast e. 2 oz lean baked ham 3. A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Which of the following manifestations are expected findings? (Select all that apply.) a. Tachypnea b. Persistent cough c. Increased urinary output d. Thick, yellow sputum e. Orthopnea 4. A nurse is completing discharge teaching with a client who has heart failure and is encouraged to increase potassium in his diet. Which of the following food selections should the nurse include as having the highest source of potassium? a. 1 medium apply b. 1 medium baked potato c. 1 slice toast with 1 tbsp peanut butter d. 1 large scrambled egg 5. A nurse is providing discharge teaching for a client who has heart failure and is on fluid restriction of 2,000 ml/day. The client asks the nurse how to determine the appropriate amount of fluids he is allowed. Which of the following statements is an appropriate response by the nurse? a. “Pour the amount of fluid you drink into an empty 2-liter bottle to keep track of how much you drink.” b. “Each glass contains 8 ounces. There are 30 milters per ounce, so you can have a total of 8 glasses or cups of fluid per day.” c. “this is the same as 2 quarts, or about the same as two pots of coffee.” d. “Take sips of water or ice chips so you will not take in too much fluid.” Chapter 33 Questions
ATI Chapter 28 Questions
a. Respiratory history b. Vital signs c. Medication history d. Medications to be administered 3. A nurse is caring for a client who experienced defibrillation. Which of the following should be included in the documentation of this procedure? (Select all that apply.) a. Follow up ECG b. Energy settings Used c. IV fluid intake d. Urinary output e. Skin condition under electrodes 4. A nurse on a cardiac unit is caring for a client who is on telemetry. The nurse recognizes the client’s heart rate is 46/min and notifies the provider. The nurse should anticipate that which of the following management strategies will be used for this client? a. Defibrillation b. Pacemaker insertion c. Synchronized cardioversion d. Administration of IV lidocaine. 5. A student nurse is observing a cardioversion procedure and hears the team leader call out, “Stand clear”/ The student should recognize the purpose of this action is to alert personnel that a. The cardioverter is being charged to the appropriate setting. b. They should initiate CPR due to pulseless electrical activity. Chapter 35 – ATI 1. A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh-high compression stockings. Which of the following actions should the nurse take? a. Elevate the client’s legs for 10 min, two to three times daily while wearing stockings b. Apply the stockings in the morning upon awakening and before getting out of bed c. Roll stockings down to the knees to relieve discomfort on the legs d. Remove the stockings while out of bed for 1 hr, four times a day, to allow the legs to rest 2. A nurse is assessing a client who has chronic peripheral arterial disease (PAD). Which of the following findings should the nurse expect? a. Edema around the ankles and feet b. Ulceration around the medial malleoli c. Scaling eczema of the lower legs with stasis dermatitis d. Pallor on elevation of the limbs, and rubor when the limbs are dependent 3. A nurse is teaching a client who has a new diagnosis of severe peripheral arterial disease. Which of the following instructions should the nurse include? a. Wear tightly-fitted insulated socks with shoes when going outside b. Elevate both legs above the heart when resting c. Apply a heating pad to both legs for comfort d. Place both legs in dependent position while sleeping 4. A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include? (Select all that apply) a. Avoid taking herbal supplements while taking this medication b. Monitor for the presence of black, tarry stools c. Take this medication when you have pain d. Schedule a weekly PT test e. Limit food sources containing vitamin K while taking this medication 5. A nurse is caring for a client who has a deep-vein thrombosis (DVT) and has been taking unfractionated heparin for 1 week. Two days ago, the provider also prescribed warfarin. The client asks the nurse about receiving both heparin and warfin at the same time. Which of the following statements should the nurse give? a. I will remind your provider that you are already receiving heparin b. Your laboratory findings that two anticoagulants were needed c. It takes 3 to 4 days before the therapeutic effects of warfarin are achieved, and then the heparin can be discontinued d. Only on of these medications is being given to treat you deep-vein thrombosis Chapter 36 – ATI 1. A nurse is screening a client for hypertension. The nurse should identify that which of the following actions by the client increase risk for hypertension? (select all that apply) a. Drinking 8 oz. nonfat milk daily b. Eating popcorn at the movie theater c. Walking 1 mile daily at 12 min/mile pace d. Consuming 36 oz beer daily e. Getting a massage once a week 2. A nurse in an urgent care clinic is obtaining a history from a client who has type 2 diabetes mellitus and a recent diagnosis of hypertension. This is the second time in 2 weeks that the client experienced hypoglycemia. Which of the following client data should the nurse report to the provider? a. Takes psyllium daily as a fiber laxative b. Drinks skim milk daily as a bedtime snack c. Takes metoprolol daily after meals d. Drinks grapefruit juice daily with breakfast 3. A nurse is caring for a client who is admitted to the emergency department with a blood pressure of 266/147 mm Hg. The client reports a headache and double vision. The client states, “I ran out of my diltiazem 3 days ago, and I am unable to purchase more.” Which of the following actions should the nurse take first? a. Administer acetaminophen for headache b. Provide teaching regarding the importance of not abruptly stopping an antihypertensive c. Obtain IV access and prepare to administer and IV antihypertensive d. Call social services for a referral for financial assistance in obtaining prescribed medication 4. A nurse is providing teaching for a client who has a new diagnosis of hypertension and a new prescription for spironolactone 25 mg/day. Which of the following statements by the client indicated an understanding of the teaching? a. I should eat a lot of fruits and vegetables, especially bananas and potatoes b. I will report any changes in heart rate to my provider c. I should replace the salt shaker on my table with a salt substitute d. I will decrease the dose of this medication when I no longer have headaches and facial redness 5. A nurse is providing discharge teaching for a client who has a prescription for furosemide 40 mg PO daily. The nurse should instruct the client to take this medication at which of the following times a day? Which information about the purpose of pursed lip breathing will the nurse include when teaching a patient?Pursed-lips breathing
Pursed-lips breathing can slow down your breathing, reducing the work of breathing by keeping your airways open longer. This makes it easier for the lungs to function and improves oxygen and carbon dioxide exchange.
Which instruction will the nurse include when teaching a patient with COPD about using pursed lip breathing?Pursed Lip Breathing
Don't take a deep breath; a normal breath will do. It may help to count to yourself: inhale, one, two. Pucker or purse your lips as if you were going to whistle or gently flicker the flame of a candle. Breathe out (exhale) slowly and gently through your pursed lips while counting to four.
Which of the following is an expected outcome of pursed lip breathing?Through purse-lip breathing, people can have relief of shortness of breath, decrease the work of breathing, and improve gas exchange. They also regain a sense of control over their breathing while simultaneously increasing their relaxation.
Which best describes the purpose of pursed lip breathing in the client with COPD?Pursed lip breathing is a technique that helps people living with asthma or COPD when they experience shortness of breath. Pursed lip breathing helps control shortness of breath, and provides a quick and easy way to slow your pace of breathing, making each breath more effective.
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