ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 36 Questions
Question 1 of 5
A student nurse is assessing the peripheral vascular system of an older adult. What action by the student would assess the locally primary interview?
Correct Answer: D
Rationale: The student should not compress both carotid arteries at the same time to avoid brain ischemia. Blood pressure should be taken and compared in both arms. Prolonged capillary refill is considered to be greater than 5 seconds in an older adult, so classifying refill of 4 seconds as normal would not require intervention. Bruits should be auscultated.
Question 2 of 5
The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is most concerning?
Correct Answer: D
Rationale: Triglycerides in men should be below 160 mg/dL. The other values are within acceptable ranges for adult males.
Question 3 of 5
The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What meal selection indicates the client is managing this condition well with diet?
Correct Answer: B
Rationale: The diet recommended for this client would be low in saturated fats and red meat, high in vegetables and whole grains (fiber), low in salt, and low in trans fat. The best choice is baked chicken with broccoli and tomatoes. The French fries have too much fat and the iceberg lettuce has little fiber. The catfish is fried. The spaghetti dinner has too much red meat and no vegetables.
Question 4 of 5
A nurse is working with a client who takes atorvastatin (Lipitor). The client's recent laboratory results include a blood urea nitrogen (BUN) of 33 mg/dL and creatinine of 2.3 mg/dL. What action by the nurse is best?
Correct Answer: A
Rationale: There is a drug-food interaction between statins and grapefruit that can lead to acute kidney failure. This client has elevated renal laboratory results, indicating some degree of kidney involvement. The nurse should assess if the client eats grapefruit or drinks grapefruit juice. Dehydration can cause the BUN to be elevated, but the elevation in creatinine is more specific for a kidney injury. The client does not necessarily need to be admitted. A urinalysis may or may not be ordered.
Question 5 of 5
A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms. What response by the nurse is best?
Correct Answer: A
Rationale: Most people with hypertension are asymptomatic, although a small percentage do have symptoms. Since the client has already admitted nonadherence, assessing barriers such as affordability is the most effective response to improve compliance.