Questions 89

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ATI Med Surg Exam 2 Questions

Extract:


Question 1 of 5

A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)

Correct Answer: A,C,E

Rationale: Dribbling (
A), irregular voiding (
C), and bladder distension (E) indicate retention. Urine color and proteinuria are unrelated.

Question 2 of 5

A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Low protein intake (0.8 g/kg/day) reduces kidney workload in diabetic nephropathy. Fiber, cholesterol, and carbohydrate restrictions are less specific.

Question 3 of 5

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Correct Answer: A,C,D,E

Rationale: Pruritus occurs due to waste buildup (
A). Hypotension results from fluid shifts (
C). Bone pain is linked to mineral disorders (
D). Bradypnea may arise from metabolic changes (E). Slurred speech is not typical for ESRD (
B).

Question 4 of 5

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

Correct Answer: D

Rationale: Active alcohol use disorder is a contraindication for kidney transplant due to recovery requirements. Cancer history, pacemakers, and age are not absolute barriers.

Question 5 of 5

A nurse is preparing to administer diphenhydramine 50 mg PO every 6 hours to a client who has acute dystonia. Available are diphenhydramine 25 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 2 tablets

Rationale: 50 mg ÷25 mg/tablet = 2 tablets per dose.

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