ATI PN Adult Medical Surgical 2019

ATI PN Adult Medical Surgical 2019 Related

Review ATI PN Adult Medical Surgical 2019 related questions and content

A client who participates in a health maintenance organization (HMO) needs a bone marrow transplant for the treatment of breast cancer. The client tells the nurse that she is concerned that her HMO may deny her claim. What action by the nurse best addresses the client's need at this time?

  • A. Have the client's healthcare provider write a letter to the HMO explaining the need for the transplant.
  • B. Help the client place a call to the HMO to seek information about limitations of coverage.
  • C. Encourage the client to contact a lawyer to file a lawsuit against the HMO if necessary.
  • D. Have the social worker contact the state board of insurance to register a complaint against the HMO.
Correct Answer: B

Rationale: The correct answer is B: Help the client place a call to the HMO to seek information about limitations of coverage. This is the best action because it directly addresses the client's concern by clarifying the coverage for the bone marrow transplant. By contacting the HMO, the client can get accurate information on whether the transplant is covered and what steps need to be taken for approval. This empowers the client to make informed decisions regarding their healthcare.

Choice A is incorrect because having the healthcare provider write a letter may not directly address the client's concerns about coverage. Choice C is incorrect as contacting a lawyer should be a last resort after exploring other options. Choice D is incorrect as involving the state board of insurance is not necessary at this stage and may escalate the situation unnecessarily.

You may also like to solve these questions

A client with a history of myocardial infarction (MI) is prescribed atorvastatin (Lipitor). Which outcome indicates that the medication is effective?

  • A. Increased blood pressure.
  • B. Lowered cholesterol levels.
  • C. Decreased heart rate.
  • D. Improved liver function.
Correct Answer: B

Rationale: The correct answer is B: Lowered cholesterol levels. Atorvastatin is a statin medication used to lower cholesterol levels, reducing the risk of further cardiovascular events in patients with a history of MI. Lowering cholesterol helps prevent plaque buildup in arteries, reducing the likelihood of another MI. Increased blood pressure (A) and decreased heart rate (C) are not direct indicators of atorvastatin's effectiveness. Improved liver function (D) may be a consideration due to potential side effects, but the primary goal of atorvastatin is to lower cholesterol levels to prevent cardiovascular events.

When assessing a client with suspected meningitis, which finding is indicative of meningeal irritation?

  • A. Brudzinski's sign
  • B. Positive Babinski reflex
  • C. Kernig's sign
  • D. Both A and C
Correct Answer: D

Rationale: The correct answer is D, Both A and C. Brudzinski's sign and Kernig's sign are both indicative of meningeal irritation. Brudzinski's sign is when flexion of the neck causes involuntary flexion of the hip and knee. Kernig's sign is when there is resistance or pain with knee extension after hip flexion. These signs suggest inflammation of the meninges, commonly seen in meningitis. Babinski reflex (choice B) is not specific to meningitis and is related to upper motor neuron dysfunction. Therefore, the correct answer is D as it includes the two most relevant signs for meningeal irritation, while the other choices are not directly associated with this condition.

A client with hyperthyroidism is prescribed propylthiouracil (PTU). Which instruction should the nurse include in the client's discharge teaching?

  • A. Report any signs of infection, such as sore throat or fever, to your healthcare provider.'
  • B. Increase your intake of iodine-rich foods, such as seafood and dairy products.'
  • C. Take the medication on an empty stomach for better absorption.'
  • D. You may experience weight gain and fatigue as side effects of the medication.'
Correct Answer: A

Rationale: The correct answer is A: "Report any signs of infection, such as sore throat or fever, to your healthcare provider." This is important because PTU can cause agranulocytosis, a serious side effect that can lead to severe infections. By reporting signs of infection early, the healthcare provider can monitor the client's blood counts and adjust treatment if necessary.

Choice B is incorrect because increasing intake of iodine-rich foods can worsen hyperthyroidism. Choice C is incorrect because PTU should be taken with food to minimize gastrointestinal side effects. Choice D is incorrect because weight gain and fatigue are not common side effects of PTU; in fact, weight loss and hyperactivity are more common.

What action should the nurse take to prevent tracheal tissue damage in a client with a tracheostomy?

  • A. Secure the tracheostomy ties firmly.
  • B. Change the tracheostomy tube daily.
  • C. Use the minimal leak technique when inflating the cuff.
  • D. Clean the stoma with hydrogen peroxide.
Correct Answer: C

Rationale: The correct action to prevent tracheal tissue damage in a client with a tracheostomy is to use the minimal leak technique when inflating the cuff (Choice C). This technique helps maintain proper cuff pressure, preventing excessive pressure on the tracheal tissue. Securing the tracheostomy ties firmly (Choice A) may cause pressure ulcers on the neck. Changing the tracheostomy tube daily (Choice B) is unnecessary and may introduce infection. Cleaning the stoma with hydrogen peroxide (Choice D) can be too harsh and damaging to the delicate tracheal tissue.

A client who has just started taking levodopa-carbidopa (Sinemet) for Parkinson's disease reports experiencing nausea. What should the nurse recommend to the client?

  • A. Take the medication on an empty stomach.
  • B. Consume a low-protein snack with the medication.
  • C. Increase your intake of dairy products.
  • D. Stop taking the medication and notify your healthcare provider.
Correct Answer: B

Rationale: The correct answer is B: Consume a low-protein snack with the medication. This is because levodopa absorption is improved when taken with a low-protein snack, reducing the risk of nausea. Choice A is incorrect as taking the medication on an empty stomach can exacerbate nausea. Choice C is incorrect as increasing dairy intake can interfere with levodopa absorption. Choice D is incorrect as abruptly stopping the medication can worsen Parkinson's symptoms.

Copyright © 2025 Nokea. All rights reserved.