Extract:

Question 1 of 5

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?

A. Serum creatinine 0.8 mg/dLB. A severe allergy to amoxicillinC. A recent history of diarrhea for 3 daysD. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride

Correct Answer: B

Rationale: A severe allergy to amoxicillin indicates a potential cross-allergy with cephalosporins like cefoxitin, making it a contraindication for administration.

Question 2 of 5

A nurse is caring for a group of clients. Which of the following clients should the nurse refer to a social worker? (Select all that apply.)

A. A client who requests to obtain information on the adverse effects of antidepressant medication therapy.B. A client who requests to get school assignments while hospitalized on a pediatric unit.C. A client who requests to secure an emergency notification system in the home.D. A client who requests to receive additional instructions on breastfeeding prior to discharge.E. A client who requires placement in an assisted living facility.

Correct Answer: B,C,E

Rationale: Client B, who is hospitalized and wishes to keep up with school assignments, may need assistance with educational continuity plans. Securing an emergency notification system involves social services to assess and arrange appropriate services. Placement in an assisted living facility requires social work assistance to coordinate appropriate care and transition.

Question 3 of 5

A nurse is teaching a group of clients about tick-borne illnesses. Which of the following information should the nurse include in the teaching regarding ticks?

A. Apply a pediculicide lotion to the area surrounding the tick.B. Use a twisting motion when removing the tick.C. Grasp the tick as close to the skin as possible.D. Use the hot ember from the tip of a match to remove the tick.

Correct Answer: C

Rationale: Grasping the tick as close to the skin as possible with fine-tipped tweezers allows for complete removal without squeezing the tick's body.

Question 4 of 5

A nurse in a long-term care facility is assisting a client with eating during meal time and recognizes another client indicating he is choking. Which of the following situations requires the nurse to perform the Heimlich maneuver?

A. The client is coughing only.B. The client is not making any sounds.C. The client is able to whisper.D. The client has a high-pitched inspiratory stridor.

Correct Answer: B

Rationale: Inability to make any sounds indicates a complete airway obstruction, requiring the Heimlich maneuver.

Question 5 of 5

A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

A. Avoid crowds.B. Take temperature weekly.C. Perform mild exercise, such as gardening.D. Eat plenty of fresh fruits and vegetables.

Correct Answer: A

Rationale: Neutropenic clients have reduced immune function and are at increased risk of infection from exposure to crowds and potential pathogens.

Nurselytic

ATI RN

ATI RN

ATI Med Surg Pharm Comprehensive Exam 1 Questions

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