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

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ATI Capstone Adult Medical Surgical Assessment 1

1. 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.

2. A nurse is planning care for a group of postoperative clients. Which of the following interventions should the nurse identify as the priority?

Correct answer: B

Rationale: The priority intervention is administering oxygen. Postoperatively, the client's oxygen saturation should be at or above 95%. Oxygen is essential for tissue perfusion and cellular oxygenation. While managing pain is important, oxygenation takes precedence. Instructing a client about coughing and deep breathing exercises is important for preventing respiratory complications but is not as urgent as addressing low oxygen saturation. Initiating an infusion of 0.9% sodium chloride is a routine postoperative intervention for fluid balance but is not the priority when oxygen saturation is low.

3. A client is scheduled for an electroencephalogram (EEG) and a nurse is providing teaching. Which of the following statements by the client indicates an understanding of the teaching?

Correct answer: D

Rationale: The correct answer is D. The nurse should inform the client that flashes of light or pictures are often used during the procedure to assess the brain's response to stimuli. Choices A, B, and C are incorrect because washing hair, receiving a sedative, and avoiding eating are not directly related to the EEG procedure.

4. A client who has burn injuries covering their upper body is concerned about their altered appearance. Which of the following statements should the nurse make?

Correct answer: D

Rationale: The nurse should encourage the client to attend a support group for individuals who have burn injuries. Support groups can provide emotional support, shared experiences, and coping strategies for accepting their altered appearance. Choice A is not the best response as it does not offer proactive support. Choice B is not appropriate as the timing of cosmetic surgery should be determined by healthcare providers, not immediate. Choice C is misleading as reconstructive surgery may improve appearance but may not completely restore the previous look.

5. A nurse is planning care for a client who has acute post-streptococcal glomerulonephritis. Which of the following interventions should the nurse include in the client's plan?

Correct answer: C

Rationale: Administering diuretics is a crucial intervention for a client with acute post-streptococcal glomerulonephritis as it helps reduce edema by increasing urine output and managing symptoms of glomerulonephritis. Encouraging a high-protein diet (Choice A) is not recommended in this case because it can put additional stress on the kidneys. Increasing fluid intake (Choice B) may worsen edema in these clients. Weighing the client twice a week (Choice D) is important for monitoring fluid balance but is not as immediate and directly beneficial as administering diuretics.

Similar Questions

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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?
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ATI TEAS 7 Exam Overview

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