Questions 70

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ATI Med Surg Nursing 300 Final Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client who has a biventricular pacemaker. Which instruction should the nurse include in the discharge teaching?

Correct Answer: C

Rationale: No heavy lifting for 6-8 weeks prevents pacemaker lead dislodgement, a critical instruction for recovery.

Question 2 of 5

A nurse is caring for a client who has suspected hemorrhagic stroke from a ruptured cerebral aneurysm. Which of the following manifestations would the nurse expect?

Correct Answer: D

Rationale: A sudden, severe headache ('worst headache of my life') is classic for a ruptured cerebral aneurysm, causing hemorrhagic stroke.

Question 3 of 5

The nurse is caring for a client who has a biventricular pacemaker. Which instruction should the nurse include in the discharge teaching?

Correct Answer: C

Rationale: No heavy lifting for 6-8 weeks prevents pacemaker lead dislodgement, a critical instruction for recovery.

Question 4 of 5

The nurse is caring for a patient with wheezes, shortness of breath, urticaria and itching after receiving a new antibiotic The nurse understands that the epilepsy in this situation would be administered intramuscularly (IM), rather than intravenously (IV) because:

Correct Answer: B

Rationale: IM epinephrine is preferred in anaphylaxis to avoid rapid systemic effects of IV administration, which is reserved for cardiac arrest or severe shock.

Question 5 of 5

A nurse is caring for a client who has a new diagnosis of bladder cancer Which of the following interventions should the nurse take to promote comfort?

Correct Answer: A

Rationale: Honest answers reduce anxiety and build trust, promoting comfort in a client with a new cancer diagnosis. Avoiding eye contact, limiting explanations, or choices can increase distress.

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