Questions 65

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ATI Nur201 FA2 Med Surg 2 Exam Questions

Extract:


Question 1 of 5

A nurse in the emergency department is caring for a client who is suspected to be in a cholinergic crisis. Which of the following factors should the nurse identify as a possible cause?

Correct Answer: D

Rationale: A cholinergic crisis occurs due to excessive accumulation of acetylcholine, often from taking too much of prescribed anticholinesterase medications.

Question 2 of 5

The nurse is giving a client with chronic obstructive pulmonary disease (COPD) information related to positions used to breathe more easily. The nurse teaches the client to assume which position?

Correct Answer: B

Rationale: Sitting on the edge of the bed with arms supported (tripod position) helps COPD patients breathe more easily by allowing better diaphragm movement.

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 fluid consumption helps thin bronchial secretions, making them easier to expectorate, improving respiratory function.

Question 4 of 5

A nurse is caring for an older adult client whose wife passed away a month ago with cardiac issues and is currently being treated for similar cardiac issues. He is tearful and states, 'How could you possibly understand what I am going through?' Which of the following is an appropriate response by the nurse?

Correct Answer: A

Rationale: This response acknowledges the client's feelings and validates their experience, encouraging further expression of emotions in an empathetic manner.

Question 5 of 5

The nurse is caring for a patient with a blood pressure of 88/50 and symptomatic. The nurse recognizes which nursing action is a priority?

Correct Answer: B

Rationale: Administering a bolus of IV fluids is the priority to increase blood volume and stabilize blood pressure in symptomatic hypotension.

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