ati capstone adult medical surgical assessment 1 ATI Capstone Adult Medical Surgical Assessment 1 - Nursing Elites
Logo

Nursing Elites

ATI RN

ATI Capstone Adult Medical Surgical Assessment 1

1. A patient with chronic kidney disease may require dietary restrictions. Which of the following diets should the healthcare provider prescribe?

Correct answer: B

Rationale: Patients with chronic kidney disease often require a potassium-restricted diet to help manage their electrolyte levels. Excessive potassium intake can be harmful to individuals with compromised kidney function. While monitoring sodium intake is also important for these patients, a low sodium diet is not specifically indicated in the question. High phosphorus diet and high protein diet are not recommended for individuals with chronic kidney disease as they can further stress the kidneys and worsen the condition.

2. A client with Ménière's disease is experiencing episodes of vertigo. Which of the following interventions should the nurse include in the plan of care?

Correct answer: D

Rationale: The correct intervention for a client with Ménière's disease experiencing vertigo is to provide a low sodium diet. This helps reduce fluid retention, which can alleviate the symptoms of Ménière's disease. Maintaining strict bed rest is not necessary and can lead to deconditioning. Restricting fluid intake to the morning hours does not specifically address the underlying cause of Ménière's disease. Administering aspirin is not indicated for Ménière's disease and can potentially worsen symptoms.

3. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following should the nurse include as a risk factor for osteoporosis?

Correct answer: A

Rationale: The correct answer is A: Early menopause. A client who goes into early menopause, from natural or surgical causes, is at a greater risk for developing osteoporosis due to the rapid drop in estrogen levels. Choice B, history of falls, is not a direct risk factor for osteoporosis but rather a risk for fractures related to osteoporosis. Choice C, African American race, is actually associated with a lower risk of osteoporosis. Choice D, obesity, is considered a protective factor against osteoporosis as excess weight can provide additional support to bones.

4. A client with heart failure is prescribed furosemide 20 mg PO twice daily. Which of the following instructions should the nurse include during discharge teaching?

Correct answer: B

Rationale: The correct answer is to instruct the client to increase their intake of high-potassium foods. Furosemide can lead to hypokalemia, a condition of low potassium levels in the blood. Increasing the consumption of high-potassium foods helps prevent this adverse effect. Monitoring for increased blood pressure (choice A) is not directly related to furosemide use. Expecting an increase in swelling (choice C) is incorrect as furosemide is a diuretic that helps reduce swelling. Taking the second dose at bedtime (choice D) is not necessary unless prescribed by the healthcare provider.

5. While administering a blood transfusion, a nurse suspects that the client is having an adverse reaction. Which of the following actions should the nurse take first?

Correct answer: D

Rationale: The correct first action for the nurse to take when suspecting an adverse reaction to a blood transfusion is to stop the transfusion immediately. Stopping the transfusion helps prevent further harm to the client. Maintaining IV access and obtaining vital signs are important steps but come after stopping the transfusion in this situation. Contacting the provider can be done after ensuring the client's safety by stopping the transfusion.

Similar Questions

A client has a right-sided pneumothorax, and a chest tube is inserted. Which finding indicates that the chest drainage system is functioning correctly?
A nurse is caring for a client with rheumatoid arthritis who has been taking prednisone. Which of the following findings should the nurse identify as an adverse effect of this medication?
A healthcare professional is preparing a client for a colonoscopy. Which of the following medications should the professional anticipate the provider to prescribe as an anesthetic for the procedure?
A client is to undergo a liver biopsy. Which of the following instructions should the nurse provide to the client following the procedure?
A nurse is teaching a client who has hypertension about dietary modifications to help control blood pressure. Which of the following food choices should the nurse recommend as the best choice for the client to include in their diet?
ATI TEAS 7 Exam Overview

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 50,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access @ $69.99

ATI RN Premium
$149.99/ 90 days

  • 50,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access @ $149.99