ATI RN Adult Medical Surgical 2023 V

Extract:

Question 1 of 5

A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?

A. Monitor for hypokalemia as a manifestation of acute rejection. B. Assess urine output hourly. C. Check the client's blood pressure every 8 hr. D. Administer opioids PO.

Correct Answer: B

Rationale: Hourly urine output monitoring detects early signs of graft dysfunction, critical post-transplant.

Question 2 of 5

A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?

A. Limit the client's fluid intake. B. Instruct the client to lie flat. C. Instruct the client to expect tingling in their extremities. D. Measure blood glucose every 2 hr.

Correct Answer: B

Rationale: Lying flat reduces cerebrospinal fluid leakage, preventing post-lumbar puncture headache.

Question 3 of 5

A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?

A. The dietitian will provide you with the best food choices to manage your diabetes. B. I can assist you with making a list of foods you like for the dietitian. C. I understand that the dietary choices can seem overwhelming. D. Managing your diabetes will require you to make accommodations.

Correct Answer: B

Rationale: Assisting with a food preference list empowers the client to participate actively in their dietary plan.

Question 4 of 5

A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client's PICC line?

A. Flush the catheter with a 0.9% sodium chloride solution after each use. B. Change the transparent membrane dressing daily. C. Access the catheter using a non-coring needle. D. Maintain a continuous IV infusion through the PICC line.

Correct Answer: A

Rationale: Flushing with saline after use maintains PICC patency and prevents occlusion.

Question 5 of 5

A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?

A. Initiate a referral for the client to a home health agency. B. Remind the client of the importance of medication adherence. C. Tell the client to avoid places where there are large crowds of people. D. Instruct the client to avoid eating raw vegetables.

Correct Answer: A

Rationale: A home health referral supports the client's desire for independence while ensuring safe care.

ATI RN Adult Medical Surgical 2023 V | Nurselytic

Nurselytic

ATI RN

ATI RN