ATI LPN
ATI Learning System PN Medical Surgical Final Quizlet
1. What instruction should the nurse include in the discharge teaching for a patient with hypothyroidism prescribed levothyroxine?
- A. Take the medication with meals.
- B. Take the medication in the morning on an empty stomach.
- C. Discontinue the medication if you feel better.
- D. Double the dose if a dose is missed.
Correct answer: B
Rationale: The correct instruction for a patient with hypothyroidism prescribed levothyroxine is to take the medication in the morning on an empty stomach to enhance absorption. Taking it with meals can interfere with absorption. Patients should not discontinue the medication without consulting their healthcare provider as it can lead to adverse effects. Doubling the dose if a dose is missed can increase the risk of side effects and overdosage. It is crucial for patients to follow the prescribed dosing schedule and consult their healthcare provider for any concerns or missed doses.
2. An older adult client from a minority culture refuses to eat at the nursing home, stating, 'I just do not like the food here.' What factor should the staff assess for this problem?
- A. The client does not like eating with other residents of the home.
- B. The client is using this as an excuse to go home.
- C. The food served may not be culturally appropriate.
- D. The food served may violate religious beliefs.
Correct answer: C
Rationale: The correct answer is C. Residents in long-term care settings often have limited food choices, which may not align with their cultural preferences. When assessing why a client is refusing to eat, it is essential to consider if the food served is culturally appropriate. Choices A, B, and D are incorrect. There is no indication in the scenario that the client's refusal to eat is due to not liking to eat with other residents, using it as an excuse to go home, or violating religious beliefs.
3. A healthcare professional is assessing a client for potential complications after surgery. Which of the following should the healthcare professional monitor for?
- A. Decreased urine output
- B. Increased appetite
- C. Improved mobility
- D. Normal temperature
Correct answer: A
Rationale: Corrected Rationale: Decreased urine output can indicate renal complications or dehydration, which are common post-surgical complications. Monitoring urine output is crucial for detecting early signs of kidney dysfunction or fluid imbalances. Increased appetite, improved mobility, and normal temperature are not typical signs of immediate post-surgical complications and would not be the priority for monitoring in this case.
4. Which symptom would indicate a complication after a subdural hematoma?
- A. Increased appetite
- B. Decreased level of consciousness
- C. High-pitched cry
- D. Bulging posterior fontanelle
Correct answer: B
Rationale: A bulging posterior fontanelle is a sign of increased intracranial pressure in infants, not a common symptom after a subdural hematoma. In the context of a subdural hematoma, a decreased level of consciousness is more indicative of a complication as it can be a sign of worsening brain function due to increased pressure on the brain from the collection of blood in the subdural space. Increased appetite and high-pitched cry are not typically associated with complications of a subdural hematoma.
5. Carbohydrates are composed of a combination of carbon, hydrogen, and which other element?
- A. oxygen.
- B. nitrogen.
- C. water.
- D. glucose.
Correct answer: A
Rationale: Carbohydrates are composed of carbon, hydrogen, and oxygen. These three elements combine to form the basic structure of carbohydrates. Oxygen is an essential element in carbohydrates, contributing to their chemical composition. Choice B (nitrogen) is incorrect as nitrogen is not a typical component of carbohydrates. Choice C (water) is incorrect as water is not an element but a compound composed of hydrogen and oxygen. Choice D (glucose) is incorrect as glucose is a specific type of sugar, not an element found in the composition of carbohydrates.
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