ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
A Type 1 diabetic client's blood glucose level is 50 mg/dL at 16:30. The client is alert; however, dinner will not be served until 17:15. What should be the nurse's initial action?
Correct Answer: A
Rationale: A blood glucose level of 50 mg/dL is hypoglycemic. Following the 15-15 rule, 4 oz. of orange juice (about 15 grams of carbohydrates) can quickly raise blood glucose levels.
Question 2 of 5
A client is receiving trimethoprim-sulfamethoxazole. What information should the nurse include in the teaching about this medication?
Correct Answer: A
Rationale: Trimethoprim-sulfamethoxazole is an antibiotic used to treat or prevent bacterial infections. One of the key instructions for patients taking this medication is to increase fluid intake to 3 to 4 liters per 24 hours. This is because the medication can crystallize in the urine, which can lead to kidney stones or damage if the patient is not adequately hydrated.
Question 3 of 5
The nurse is providing care for a client diagnosed with post-thrombotic syndrome who has a venous stasis ulcer. Which instructions should be given prior to discharge? (Select all that apply)
Correct Answer: A,B,E
Rationale: Proteins, vitamin C, and zinc are essential for wound healing. Care should be taken when walking to avoid bumping the limb, as trauma could worsen the condition. Compression stockings reduce swelling and improve blood flow, promoting ulcer healing.
Question 4 of 5
The nurse receives an order to administer cefazolin to a client diagnosed with a urinary tract infection. The nurse withholds the medication and notifies the health care provider because the client:
Correct Answer: D
Rationale: A prior anaphylactic reaction to penicillin is a contraindication for administering cefazolin. Cefazolin is a cephalosporin, and there is a risk of cross-reactivity and potential allergic reaction in clients who have a history of severe penicillin allergy.
Question 5 of 5
A patient is prescribed metronidazole orally. What statement should be included in the discharge teaching?
Correct Answer: C
Rationale: Metronidazole may cause an unusual metallic taste in the mouth. This is a common side effect of the medication and is usually temporary.