ATI LPN
ATI LPN Med Surg Questions
Extract:
A nurse is assisting with the care of a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Determine the client's calcium level. This is the priority action for the nurse to take because the client might have hypocalcemia, which is a low level of calcium in the blood. Hypocalcemia can occur after a thyroidectomy due to accidental removal or damage of the parathyroid glands, which regulate calcium levels. Hypocalcemia can cause muscle spasms, tetany, paresthesia, and seizures.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Determine the client's calcium level. This is the priority action for the nurse to take because the client might have hypocalcemia, which is a low level of calcium in the blood. Hypocalcemia can occur after a thyroidectomy due to accidental removal or damage of the parathyroid glands, which regulate calcium levels. Hypocalcemia can cause muscle spasms, tetany, paresthesia, and seizures.
Extract:
A nurse is contributing to the plan of care for a client who has cirrhosis and ascites.
Question 3 of 5
Which of the following interventions should the nurse recommend for inclusion in the plan of care?
Correct Answer: B
Rationale: Decrease the client's fluid intake. This is an intervention that the nurse should recommend for a client who has cirrhosis and ascites. Decreasing fluid intake can help reduce fluid retention and prevent further distension of the abdomen.
Extract:
A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night.
Question 4 of 5
Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?
Correct Answer: A
Rationale: Drinking orange juice regularly. This is a contributing factor to the client's heartburn because orange juice is acidic and can irritate the esophageal mucosa and lower esophageal sphincter, causing reflux of gastric contents into the esophagus.
Extract:
A nurse is reinforcing teaching of a female client who has a family history of type 2 diabetes mellitus.
Question 5 of 5
The nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?
Correct Answer: A
Rationale: Sedentary lifestyle. This is a risk factor for developing type 2 diabetes mellitus, which can increase the risk by reducing physical activity, which improves insulin sensitivity and lowers blood glucose levels.