ATI RN
ATI Med Surg Nurs 200 Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who had an above-the-knee amputation (AKA) five days ago. The nurse notices a new foul odor coming from the incision, which is erythematous, tender, and warm to the touch. What is the priority nursing action in this situation?
Correct Answer: C
Rationale: Reporting the finding to the care provider is the priority nursing action. The symptoms described suggest a possible infection.
Question 2 of 5
The nurse is caring for a client who has just returned to the nursing unit following a below-the-knee amputation (BKA) of the right leg. How should this client be positioned?
Correct Answer: D
Rationale: The supine position, with the stump flat on the bed, is often recommended following a below-the-knee amputation. This position helps to prevent contractures and promotes healing.
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
The nurse is aware that a client taking an antibiotic that causes diarrhea should be taught about:
Correct Answer: D
Rationale: Adding yogurt to the diet is often recommended for clients taking an antibiotic that causes diarrhea. Yogurt contains probiotics, which can help restore the balance of good bacteria in the gut and alleviate diarrhea.