ATI Medical Surgical Proctored Exam 2019 Quizlet

ATI Medical Surgical Proctored Exam 2019 Quizlet Related

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The mother of a 9-month-old who was diagnosed with respiratory syncytial virus (RSV) yesterday calls the clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child the following day. What response should the nurse provide this mother?

  • A. The child can be around other children but should wear a mask at all times.
  • B. The child will no longer be contagious, no need to take any further precautions.
  • C. Make sure there are no children under the age of 6 months around the infected child.
  • D. Do not expose other children. RSV is very contagious even without direct oral contact.
Correct Answer: D

Rationale: The correct answer is D: Do not expose other children. RSV is very contagious even without direct oral contact.
Rationale: RSV is highly contagious and can spread through respiratory droplets, making it important to prevent exposing other children to the virus. Even without direct oral contact, the virus can be transmitted. Therefore, it is crucial to avoid putting other children at risk of contracting RSV.
Summary of other choices:
A: Wearing a mask may not be practical for an infant and may not provide sufficient protection against RSV transmission.
B: RSV can still be contagious for several days after symptoms appear, so the child may still be able to spread the virus.
C: While avoiding infants under 6 months can be a good precaution, all children should be protected from exposure to RSV due to its high contagiousness.

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What dietary advice should the nurse provide to help reduce the occurrence of hot flashes in a post-menopausal client?

  • A. Increase intake of spicy foods.
  • B. Limit caffeine and alcohol consumption.
  • C. Consume a high-protein diet.
  • D. Eat more dairy products.
Correct Answer: B

Rationale: The correct answer is B: Limit caffeine and alcohol consumption. Hot flashes can be triggered by stimulants like caffeine and alcohol. Limiting intake can help reduce their occurrence. Increasing spicy foods (A) can actually worsen hot flashes. High-protein diets (C) and consuming more dairy products (D) do not have a direct impact on hot flashes.

Which assessment finding indicates a client's readiness to leave the nursing unit for a bronchoscopy?

  • A. Client denies allergies to contrast media.
  • B. Skin prep to insertion site completed.
  • C. On-call sedation administered.
  • D. Oxygen at 2 L/minute via nasal cannula.
Correct Answer: C

Rationale: Rationale: Option C, on-call sedation administered, is the correct answer because sedation is essential for bronchoscopy to ensure the client is comfortable and cooperative during the procedure. Sedation helps reduce anxiety and discomfort, making the procedure more tolerable. Options A, B, and D are incorrect as they do not directly indicate readiness for the procedure. Denying allergies to contrast media (A) is important but not specific to bronchoscopy readiness. Skin prep completion (B) is part of the pre-procedure preparation but does not confirm readiness. Oxygen administration (D) is a routine care measure and does not indicate readiness for bronchoscopy.

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula for hemodialysis. Which finding should the nurse report to the healthcare provider immediately?

  • A. No bruit or thrill over the AV fistula.
  • B. Redness at the site of the AV fistula.
  • C. Client's complaint of pain at the AV fistula site.
  • D. Swelling of the hand on the side of the AV fistula.
Correct Answer: A

Rationale: The correct answer is A: No bruit or thrill over the AV fistula. A bruit and thrill indicate proper blood flow through the AV fistula, essential for successful hemodialysis. Absence of these sounds can indicate AV fistula malfunction, leading to inadequate dialysis. Redness, pain, and swelling are common complications of AV fistula placement but do not require immediate reporting unless severe or accompanied by other symptoms like fever or pus drainage. Reporting the absence of a bruit or thrill promptly allows for timely intervention to prevent complications and ensure effective dialysis.

When a client reports being allergic to penicillin, which question should the nurse ask to gather more information?

  • A. Are you allergic to any other medications?
  • B. How often have you taken penicillin in the past?
  • C. Is anyone else in your family allergic to penicillin?
  • D. What happens to you when you take penicillin?
Correct Answer: D

Rationale: Rationale: Option D is the correct answer because it directly addresses the client's experience with penicillin, providing crucial details about the allergic reaction. By asking what happens when the client takes penicillin, the nurse gains specific information to assess the severity and type of allergic reaction. This helps in determining appropriate interventions and alternative medications. Options A, B, and C are incorrect as they do not focus on gathering detailed information about the client's allergic reaction to penicillin. Option A is too broad, option B is not relevant to the current situation, and option C does not directly address the client's individual experience.

A client with hypothyroidism is started on levothyroxine (Synthroid). Which statement by the client indicates a need for further teaching?

  • A. I will take this medication every morning before breakfast.
  • B. I should have my thyroid levels checked regularly.
  • C. If I lose weight, I may need an increased dose.
  • D. I can stop taking this medication once my symptoms improve.
Correct Answer: D

Rationale: Correct Answer: D

Rationale:
1. Levothyroxine is a lifelong medication for hypothyroidism.
2. Stopping medication prematurely can lead to symptom relapse.
3. Symptoms improving doesn't indicate the underlying condition is resolved.
4. Regular monitoring and dose adjustments are crucial.
5. Choice D shows misunderstanding of treatment duration and necessity.

Summary:
A: Correct, taking in the morning maximizes absorption.
B: Correct, monitoring is necessary for dose adjustments.
C: Correct, weight loss can affect thyroid hormone levels.
D: Incorrect, as stopping medication prematurely is not advised.

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