Questions 65

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ATI Nur201 FA2 Med Surg 2 Exam Questions

Extract:


Question 1 of 5

A client is admitted to the hospital with a myasthenic crisis. The nurse should anticipate which potential precipitating factors for this event?

Correct Answer: C

Rationale: Taking too little of the prescribed medication is the primary precipitating factor for a myasthenic crisis. Inadequate levels of medication lead to insufficient acetylcholine at neuromuscular junctions, causing severe muscle weakness and potentially life-threatening respiratory failure.

Question 2 of 5

A nurse is caring for a client who is undergoing peritoneal dialysis. What should the nurse report IMMEDIATELY to the provider?

Correct Answer: C

Rationale: Cloudy opaque colored outflow indicates possible peritonitis, an infection of the peritoneum, which is a serious complication requiring immediate medical attention.

Question 3 of 5

A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?

Correct Answer: C

Rationale: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up, which is an effective method for managing secretions.

Question 4 of 5

The home care nurse is preparing to visit a client diagnosed with Meniere's disease. The nurse reviews the primary health care provider's prescriptions and expects to educate the client on which dietary measure?

Correct Answer: D

Rationale: A low sodium diet and fluid restriction help reduce fluid retention, alleviating Meniere's disease symptoms like vertigo.

Question 5 of 5

A nurse evaluates a client who presents to the provider's office to assess multiple nevi. Which finding should the nurse highlight to the provider as a possible sign of malignancy?

Correct Answer: B

Rationale: Changes in a mole's shape and size are classic warning signs of melanoma, a type of skin cancer. Moles that become asymmetrical, have irregular borders, vary in color, grow in diameter, or evolve over time need to be evaluated by a healthcare provider.

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