ATI LPN Adult Medical Surgical 2023 II | Nurselytic

Questions 84

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ATI LPN Adult Medical Surgical 2023 II Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching with a client who has acute glomerulonephritis with edema. Which of the following statements should the nurse make?

Correct Answer: B

Rationale: Reducing sodium intake helps manage edema in glomerulonephritis by decreasing fluid retention.

Question 2 of 5

A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Elevating the head of the bed prevents aspiration, a key risk during enteral feedings.

Question 3 of 5

A nurse is contributing to the plan of care for a client who has developed an infectious wound with foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?

Correct Answer: A

Rationale: A private room minimizes infection spread and manages odor, benefiting both client and staff.

Question 4 of 5

A nurse is preparing to perform tracheostomy care for a client. In which order should the nurse take the following steps?

Order the Items

Source Container

Apply clean tracheostomy ties.
Wear clean gloves to remove the tracheostomy dressing.
Ensure a method to communicate during the procedure.
Clean the inner cannula using a small brush.

Correct Answer: C,B,D,A

Rationale: Ensuring communication first maintains client comfort, followed by dressing removal, cleaning, and applying new ties.

Question 5 of 5

A nurse in a long-term care facility is providing care for a client who has gastroesophageal reflux (GERD). Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: Ambulation promotes gastric emptying and reduces reflux, an effective non-pharmacologic intervention for GERD.

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