ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?
Correct Answer: A
Rationale: Increasing fluid intake can help replenish cerebrospinal fluid (CSF) that was lost during the lumbar puncture, which can reduce the pressure difference between the brain and spinal cord that causes the headache.
Question 2 of 5
A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Evaluating the client's neurological status is the first and most important action for this client, who has two classic signs of meningitis: headache and stiff neck.
Question 3 of 5
A client newly diagnosed with multiple sclerosis is receiving education about newly prescribed medications from the nurse. Which of the following will be included in the client teaching?
Correct Answer: D
Rationale: This is correct because immunomodulators are used to prevent relapses and slow down the progression of multiple sclerosis.
Question 4 of 5
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
Correct Answer: A,C
Rationale: A stroke involving the right hemisphere can impair the ability to recognize faces (prosopagnosia) and cause weakness or paralysis of the left side of the body (right hemiparesis).
Question 5 of 5
A client who suffered a stroke now has functional musculoskeletal deficits and is unable to perform ADLS independently. Which of the following Interventions are appropriate for this client?
Correct Answer: C
Rationale: Assisting with range of motion exercises helps to prevent contractures, maintain joint mobility, and improve muscle strength and coordination.