ATI LPN
ATI Learning System PN Medical Surgical Final Quizlet Questions
Question 1 of 9
What instruction should a patient with a history of hypertension be provided when being discharged with a prescription for a thiazide diuretic?
Correct Answer: C
Rationale: Patients prescribed thiazide diuretics should monitor their weight daily to detect significant changes indicating fluid imbalance. This monitoring helps in early detection of any issues. Additionally, patients need to be cautious about potential hypokalemia and ensure they maintain adequate hydration levels to prevent complications.
Question 2 of 9
A client with liver cirrhosis is being educated about managing their condition. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C. Clients with liver cirrhosis should avoid acetaminophen because it can cause further liver damage. Acetaminophen is metabolized in the liver, and in individuals with liver disease, it can lead to liver toxicity. Therefore, clients with liver cirrhosis should use alternative pain medications that do not affect the liver, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids as prescribed by their healthcare provider.
Question 3 of 9
During an assessment, a healthcare professional suspects a client has cholecystitis. What is a common symptom of this condition?
Correct Answer: A
Rationale: Right upper quadrant pain is a hallmark symptom of cholecystitis, indicating inflammation of the gallbladder. The gallbladder is typically located in the right upper quadrant of the abdomen, so pain in this area is characteristic of cholecystitis. This pain may be sharp or cramp-like and can be accompanied by other symptoms such as nausea, vomiting, and fever.
Question 4 of 9
A client with a new diagnosis of myasthenia gravis is prescribed pyridostigmine (Mestinon). Which instruction should the nurse include in the client's teaching?
Correct Answer: B
Rationale: The correct instruction for a client with myasthenia gravis prescribed pyridostigmine (Mestinon) is to take the medication 30 minutes before meals. This timing is crucial as it helps improve muscle strength for eating and swallowing. By taking the medication before meals, the client can experience enhanced muscle function during mealtime, which is especially important for managing the symptoms of myasthenia gravis.
Question 5 of 9
What instruction should the nurse include in the discharge teaching for a patient with hypothyroidism prescribed levothyroxine?
Correct Answer: B
Rationale: The correct instruction for a patient with hypothyroidism prescribed levothyroxine is to take the medication in the morning on an empty stomach to enhance absorption. Taking it with meals can interfere with absorption. Patients should not discontinue the medication without consulting their healthcare provider as it can lead to adverse effects. Doubling the dose if a dose is missed can increase the risk of side effects and overdosage. It is crucial for patients to follow the prescribed dosing schedule and consult their healthcare provider for any concerns or missed doses.
Question 6 of 9
What instruction should a patient with a history of hypertension be provided when being discharged with a prescription for a thiazide diuretic?
Correct Answer: C
Rationale: Patients prescribed thiazide diuretics should monitor their weight daily to detect significant changes indicating fluid imbalance. This monitoring helps in early detection of any issues. Additionally, patients need to be cautious about potential hypokalemia and ensure they maintain adequate hydration levels to prevent complications.
Question 7 of 9
The community health nurse is working in a multi-ethnic health center. In what situation should the nurse intervene?
Correct Answer: D
Rationale: Losing weight in an infant, especially when combined with spitting up milk, requires immediate intervention to address potential health concerns.
Question 8 of 9
Why is a low-protein diet recommended for a patient with renal failure?
Correct Answer: B
Rationale: A low-protein diet is crucial for patients with renal failure to reduce the generation of nitrogenous waste products like urea and creatinine, which the compromised kidneys struggle to eliminate effectively. By limiting protein intake, the production of these waste products is decreased, lessening the burden on the kidneys and helping to manage the progression of renal failure.
Question 9 of 9
A patient with deep vein thrombosis (DVT) is prescribed warfarin. Which dietary instruction should the nurse provide?
Correct Answer: A
Rationale: Patients on warfarin should avoid foods high in vitamin K because vitamin K can interfere with the anticoagulant effect of the medication. Warfarin works by inhibiting vitamin K-dependent clotting factors, so consuming large amounts of vitamin K-rich foods may decrease the effectiveness of the medication.