Questions 65

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ATI Nur201 FA2 Med Surg 2 Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to discharge an older adult patient who had a mastectomy several months ago. The client tells the nurse that she has not had much desire for sexual relations since her surgery, stating, 'my body is so different now.' Which of the following is an appropriate response by the nurse?

Correct Answer: D

Rationale: Expressing interest in how the client's body feels to her validates her feelings and opens up a dialogue for her to share her concerns. This approach is empathetic and supportive.

Question 2 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.

Question 3 of 5

A client diagnosed with angina pectoris appears to be very anxious and states, 'So I had a heart attack, right?' Which response should the nurse make to the client?

Correct Answer: C

Rationale: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance.

Question 4 of 5

The nurse is caring for a child who was recently diagnosed with moderate persistent asthma. Which common asthma triggers should the nurse teach the client to avoid?

Correct Answer: A,B,D

Rationale: Cigarette smoke, air pollution, and certain cough products are common asthma triggers that can cause airway inflammation and bronchoconstriction. Physical activity is not a trigger if managed with an asthma action plan and proper medication use.

Question 5 of 5

A client admitted to the hospital with suspected myasthenic crisis was prescribed edrophonium (Tensilon). The nurse misread the dosage and administered a higher dose than prescribed. The doctor has ordered an antidote to be given. What medication does the nurse anticipate administering?

Correct Answer: D

Rationale: Atropine is the antidote for edrophonium overdose, counteracting excessive acetylcholine accumulation.

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