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PN ATI Capstone Adult Medical-Surgical 1 Quiz
1. A nurse is providing discharge teaching to a client with heart failure and a prescription for furosemide 20 mg PO twice daily. Which of the following instructions should the nurse include in the teaching?
- A. Monitor for increased blood pressure
- B. Increase intake of high-potassium foods
- C. Expect an increase in swelling in the hands and feet
- D. Take the second dose at bedtime
Correct answer: B
Rationale: The correct answer is B: "Increase intake of high-potassium foods." Furosemide is a loop diuretic that can lead to hypokalemia, a condition characterized by low potassium levels. To prevent this adverse effect, the client should increase their intake of high-potassium foods. Choice A is incorrect because furosemide typically leads to decreased blood pressure, not increased. Choice C is incorrect because furosemide is used to reduce swelling, not increase it. Choice D is incorrect because the second dose of furosemide should be taken in the morning to prevent nocturia.
2. A client is at high risk for iron deficiency anemia. Which of the following foods should the nurse instruct the client to increase in their diet?
- A. Yogurt
- B. Apples
- C. Raisins
- D. Cheddar cheese
Correct answer: C
Rationale: The correct answer is C: Raisins. Raisins are a good source of iron, which can help prevent or address iron deficiency anemia. Yogurt (Choice A) and cheddar cheese (Choice D) are not significant sources of iron. While apples (Choice B) are a healthy fruit, they do not contain as much iron as raisins.
3. While reviewing the medical record of a client with unstable angina, which of the following findings should the nurse report to the provider?
- A. BP 106/62 mm Hg, Temp 38°C (100.4°F), HR 112/min, Resp rate 26/min, urine output 90 mL/hr
- B. Skin is cool and moist with pallor
- C. Bilateral breath sounds with crackles heard at bases of lungs
- D. Creatinine kinase 100 units/L, C-reactive protein 0.8 mg/dL, Myoglobin 88 mcg/L
Correct answer: A
Rationale: The correct answer is A. The nurse should report these vital signs to the provider immediately as they indicate increased temperature, tachycardia, and tachypnea, which are signs of possible infection or systemic inflammatory response. This could exacerbate the client's unstable angina and needs prompt evaluation. Choices B, C, and D are not as urgent as the vital signs in option A and do not directly indicate a worsening condition in the context of unstable angina.
4. A client is to undergo a liver biopsy. Which of the following instructions should the nurse provide to the client following the procedure?
- A. “Lie on your left side.”
- B. “Lie on your right side.”
- C. “Increase your fluid intake.”
- D. “Decrease your fluid intake.”
Correct answer: B
Rationale: Following a liver biopsy, the nurse should instruct the client to lie on the right side to promote hemostasis. This position helps apply pressure to the biopsy site, reducing the risk of bleeding. Instructing the client to lie on the left side (Choice A) would not provide the same benefit. Increasing fluid intake (Choice C) is generally beneficial post-procedure to prevent dehydration and promote healing. Decreasing fluid intake (Choice D) is not advisable as it can lead to dehydration and potential complications.
5. A nurse at a provider’s office is interviewing a client who has multiple sclerosis and has been taking dantrolene for several months. Which of the following client statements should the nurse identify as an indication that the medication is effective?
- A. “I don’t have muscle spasms as frequently.”
- B. “I haven’t gotten any colds, even though it is flu season.”
- C. “I feel like my nerve pain has improved.”
- D. “It is easier to urinate now.”
Correct answer: A
Rationale: The correct answer is A: "I don’t have muscle spasms as frequently." The nurse should identify that dantrolene relaxes skeletal muscles, so a decrease in muscle spasms indicates the medication is effective. Choice B is incorrect as cold prevention is not related to dantrolene. Choice C is incorrect because nerve pain improvement is not a direct effect of dantrolene. Choice D is incorrect as dantrolene's action does not affect urination.
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