ATI LPN Med Surg Exam 6

Question 1 of 5

A patient who recently underwent percutaneous transluminal coronary angioplasty (PTCA) is being discharged. Which of the following statements made by the patient indicates the need for further teaching?

A. I need to monitor the puncture site for signs of infection such as redness or swelling.B. I should follow a heart healthy diet to support my recovery.C. I will take my prescribed medications as directed by my doctor.D. I can resume my regular physical activities immediately after I get home.G. D

Correct Answer: Resuming regular physical activities immediately after PTCA risks complications like bleeding at the puncture site, indicating a need for further teaching.

Rationale:

Question 2 of 5

A nurse is caring for a client who develops a fat embolism after sustaining multiple fractures in a motor vehicle accident. Which of the following interventions should the nurse implement first?

A. Initiate intravenous fluid therapyB. Prepare the client for emergency surgeryC. Administer high flow oxygen via a non-rebreather maskD. Apply sequential compression devices (SCDs)G. C

Correct Answer: High-flow oxygen addresses hypoxia from fat embolism, making it the first priority.

Rationale:

Question 3 of 5

The nurse is caring for a patient with heart failure. Which of the following treatment goals should the nurse prioritize?

A. Administer high-calorie diet to prevent weight loss.B. Reduce sodium intake to help manage fluid retention.C. Encourage complete bed rest to reduce cardiac workload.D. Increase fluid intake to maintain hydration.G. B

Correct Answer: Reducing sodium intake prevents fluid retention, easing the heart's workload in heart failure.

Rationale:

Question 4 of 5

A nurse is providing discharge teaching to a client with sickle cell disease. Which of the following instructions should the nurse include?

A. Drink plenty of fluids to stay well hydrated.B. Limit your intake of fruits and vegetables to avoid complications.C. You can stop your prescribed antibiotics once you feel better.D. Take your pain medications only when you have severe pain.G. A

Correct Answer: Hydration prevents blood thickening and reduces the risk of sickle cell crises.

Rationale:

Question 5 of 5

A nurse is reinforcing teaching with a client about risk factors for heart disease. Which of the following risk factors is modifiable?

A. Family historyB. SmokingC. Sedentary LifestyleD. DiabetesE. HypertensionG. B,C,D,E

Correct Answer: Smoking, sedentary lifestyle, diabetes, and hypertension are modifiable through lifestyle changes and medical management, unlike family history.

Rationale:

ATI LPN Med Surg Exam 6 | Nurselytic

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