Question

A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?

Answer 1

Correct Answers:

Ensure the door to the clients room is closed at all times.

Rationale :

Tuberculosis (TB) is an airborne infection that requires airborne precautions, including a negative-pressure room with the door closed at all times to prevent the spread of bacteria. Healthcare workers should wear N95 masks, not surgical masks, when entering the room. Visitors are allowed but must follow appropriate precautions.

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Answer 2

Correct Answers:

"Stress can activate an outbreak."

Rationale :

Genital herpes (HSV-2) is a lifelong viral infection that can become dormant and reactivate due to stress, illness, or a weakened immune system. Antiviral drugs like acyclovir help manage outbreaks but do not cure the infection.

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Answer 3

Correct Answers:

Positive fecal occult blood test

Rationale :

NSAIDs can cause gastric irritation, ulcers, and GI bleeding, leading to occult blood in stool. Other potential adverse effects include kidney injury (increased creatinine) and cardiovascular risks.

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Answer 4

Correct Answers:

Use an electric shaver
Avoid crowds.
Monitor for bruising.

Rationale :

Chemo-induced thrombocytopenia increases bleeding risk, so avoid razors and monitor for bruising. Immunosuppression increases infection risk, so clients should avoid crowds and monitor for fever.

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Answer 5

Correct Answers:

Monitor blood glucose levels.
Maintain NPO status until pain-free.
Manage acute pain.

Rationale :

Pancreatitis causes increased insulin demand due to pancreatic inflammation, requiring glucose monitoring. Clients must be NPO to rest the pancreas, and pain relief (opioids) is essential.

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Answer 6

Correct Answers:

"It could be helpful for you to attend a support group for people who have burn injuries."

Rationale :

Support groups help clients adjust to body image changes and provide coping strategies. Cosmetic surgery may help but does not fully restore previous appearance.

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Answer 7

Correct Answers:

The circumference of the client's upper arm has increased by 10%.

Rationale :

Increased arm circumference suggests a deep vein thrombosis (DVT) related to the PICC line. A PICC line dressing change is done weekly, and flushing is required to maintain patency.

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Answer 8

Correct Answers:

Dietary services

Rationale :

Clients with CKD need a diet low in sodium, phosphorus, and potassium while maintaining adequate protein intake. A dietitian can provide guidance on food choices to slow CKD progression.

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Answer 9

Correct Answers:

Infection
Vomiting
Widening pulse pressure

Rationale :

Infection is a major risk due to the direct connection to cerebrospinal fluid. Widening pulse pressure and vomiting indicate increased intracranial pressure (ICP).

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Answer 10

Correct Answers:

Provide a low-sodium diet.

Rationale :

A low-sodium diet reduces fluid retention in the inner ear, which can help prevent vertigo episodes. Bed rest is not necessary, and aspirin can worsen symptoms due to its effect on the inner ear.

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RN ATI Adult Medsurgical Assessment 2

No.

1 : A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?

2 : A nurse is providing teaching to a client who has a new onset of genital herpes. Which of the following statements should the nurse include in the teaching?

3 : A nurse is reviewing laboratory reports for a client who is taking NSAIDs for rheumatoid arthritis. Which of the following results should the nurse recognize as a possible adverse effect of NSAID

therapy?

4 : A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching?

(Select all that apply.)

5 : A nurse is planning care for a client who has acute pancreatitis.

Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)

6 : A nurse is caring for a client who has burn injuries covering their upper body and is concerned about their altered appearance.

Which of the following statements should the nurse make?

7 : A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For which of the following findings should the nurse notify the provider?

8 : A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). Which of the following referrals should the nurse plan to initiate?

9 : A nurse is monitoring a client who has a traumatic brain injury and a ventriculostomy drain. The nurse should report which of the following findings as a complication of this therapeutic

procedure? (Select all that apply.)

10 : A nurse is planning care for a client who has Méniere's disease and is experiencing episodes of vertigo. Which of the following interventions should the nurse include in the plan?

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RN ATI Adult Medsurgical Assessment 2

No.

1 : A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?

2 : A nurse is providing teaching to a client who has a new onset of genital herpes. Which of the following statements should the nurse include in the teaching?

3 : A nurse is reviewing laboratory reports for a client who is taking NSAIDs for rheumatoid arthritis. Which of the following results should the nurse recognize as a possible adverse effect of NSAIDtherapy?

4 : A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching?(Select all that apply.)

5 : A nurse is planning care for a client who has acute pancreatitis.Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)

6 : A nurse is caring for a client who has burn injuries covering their upper body and is concerned about their altered appearance.Which of the following statements should the nurse make?

7 : A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For which of the following findings should the nurse notify the provider?

8 : A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). Which of the following referrals should the nurse plan to initiate?

9 : A nurse is monitoring a client who has a traumatic brain injury and a ventriculostomy drain. The nurse should report which of the following findings as a complication of this therapeuticprocedure? (Select all that apply.)

10 : A nurse is planning care for a client who has Méniere's disease and is experiencing episodes of vertigo. Which of the following interventions should the nurse include in the plan?

3 : A nurse is reviewing laboratory reports for a client who is taking NSAIDs for rheumatoid arthritis. Which of the following results should the nurse recognize as a possible adverse effect of NSAID

therapy?

4 : A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching?

(Select all that apply.)

5 : A nurse is planning care for a client who has acute pancreatitis.

Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)

6 : A nurse is caring for a client who has burn injuries covering their upper body and is concerned about their altered appearance.

Which of the following statements should the nurse make?

9 : A nurse is monitoring a client who has a traumatic brain injury and a ventriculostomy drain. The nurse should report which of the following findings as a complication of this therapeutic

procedure? (Select all that apply.)