Questions 127

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ATI n200 Med Surg Exam Questions

Extract:


Question 1 of 5

The client has fibromyalgia and asks the nurse why this occurs. Which statement by the client, would show that the explanation was understood?

Correct Answer: D

Rationale: Fibromyalgia does not involve inflammation in muscles and tendons; it is a central nervous system disorder. Fibromyalgia is not psychosomatic, although its symptoms are not fully understood and may involve stress. Cartilage destruction is more characteristic of osteoarthritis, not fibromyalgia. Fibromyalgia is characterized by abnormal pain processing, where the body perceives normal sensations as painful.

Question 2 of 5

A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:

Correct Answer: B

Rationale: Rinsing after beclomethasone (
B) prevents oral thrush. Coughing (
A) isn't needed, beclomethasone is regular (
C), and albuterol goes first (
D).

Question 3 of 5

What information would be important for the nurse to reinforce when teaching a pre-operative client about the correct use of the patient-controlled analgesia (PCA) device to achieve the best outcome?

Correct Answer: D

Rationale: Pressing PCA when pain begins (
D) prevents severe pain. Delaying (
A), others pressing (
B), or routine pressing (
C) risks inadequate/excessive dosing.

Question 4 of 5

The nurse is preparing to teach a client how to effectively perform pursed-lip breathing. The nurse would include which intervention in the teaching?

Correct Answer: D

Rationale: Exhaling slowly through pursed lips (
D) improves ventilation. Quick exhalation (
A), huff inhalation (
B), and pursed-lip inhalation (
C) are incorrect.

Question 5 of 5

The client has fibromyalgia and asks the nurse why this occurs. Which statement by the client, would show that the explanation was understood?

Correct Answer: D

Rationale: Fibromyalgia does not involve inflammation in muscles and tendons; it is a central nervous system disorder. Fibromyalgia is not psychosomatic, although its symptoms are not fully understood and may involve stress. Cartilage destruction is more characteristic of osteoarthritis, not fibromyalgia. Fibromyalgia is characterized by abnormal pain processing, where the body perceives normal sensations as painful.

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