a nurse in an emergency department is serving on a committee that is reviewing the facility protocol for disaster readiness the nurse should recommend
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PN ATI Capstone Proctored Comprehensive Assessment B Quizlet

1. A nurse in an emergency department is serving on a committee that is reviewing the facility protocol for disaster readiness. The nurse should recommend that the protocol include which of the following as a clinical manifestation of smallpox?

Correct answer: D

Rationale: The correct answer is D, 'Rash in the mouth.' Smallpox presents with a distinctive rash that typically begins in the mouth and spreads to the rest of the body, developing into pustules. This rash is a key clinical manifestation of smallpox. This infectious disease is characterized by the rash, fever, and other systemic symptoms. Choices A, B, and C are incorrect because they are not associated with smallpox. Bloody diarrhea, ptosis of the eyelids, and descending paralysis are not typical clinical manifestations of smallpox.

2. A nurse is providing education on the use of corticosteroids. Which of the following should be included?

Correct answer: A

Rationale: The correct answer is to monitor for signs of hyperglycemia when educating on corticosteroids. Corticosteroids can increase blood glucose levels, making it essential to watch for hyperglycemia, especially in diabetic patients. Choice B is incorrect because corticosteroids should not be abruptly stopped due to the risk of adrenal insufficiency. Choice C is incorrect as corticosteroids are associated with various adverse effects, making long-term use risky. Choice D is incorrect as dehydration is not typically a primary concern directly related to corticosteroid use.

3. A nurse is caring for a client prescribed montelukast. Which of the following should the nurse include in teaching related to this medication?

Correct answer: A

Rationale: The correct answer is to advise the client to take the medication once daily at bedtime. Montelukast, a leukotriene modifier, is used for long-term therapy of asthma in adults and children, as well as to prevent exercise-induced bronchospasm. It should be taken once daily in the evening for optimal effectiveness. Choice B is incorrect because montelukast is not for acute management but for long-term therapy. Choice C is incorrect as there is no need to avoid dairy products while taking montelukast. Choice D is incorrect and potentially harmful advice; clients should never double up on doses if they forget to take a medication.

4. A nurse is assessing a client who reports chest pain. Which of the following findings should cause the nurse to suspect a myocardial infarction?

Correct answer: B

Rationale: The correct answer is B. Radiating pain, especially to the left arm, is a classic sign of myocardial infarction. Pain that radiates to the left arm indicates cardiac involvement, making it a significant finding. Choices A, C, and D are incorrect because chest pain that improves with rest, worsens with deep breathing, or is relieved by antacids is less likely to be associated with a myocardial infarction.

5. A healthcare professional is assessing a client with hepatic encephalopathy. Which of the following foods indicates understanding of dietary teaching?

Correct answer: C

Rationale: The correct answer is C: 'Rice with black beans.' Plant-based proteins such as beans are recommended for clients with hepatic encephalopathy to reduce ammonia production from animal proteins. Cottage cheese (choice A), tuna salad (choice B), and a three-egg omelet (choice D) are high in animal proteins, which can contribute to increased ammonia levels in hepatic encephalopathy, making them less suitable dietary choices for these clients.

Similar Questions

A healthcare provider is reviewing the medical records of a group of older adults (OA). The provider should identify that which of the following is a risk factor that places OA at an increased risk for developing infections?
A client with mild persistent asthma is being taught about montelukast by a nurse. Which statement by the client indicates understanding?
A nurse is caring for a client prescribed levetiracetam. Which of the following should the nurse monitor?
A nurse is preparing to administer a dose of insulin. Which of the following should the nurse do first?
A nurse is preparing to feed a newly admitted client with dysphagia. Which of the following actions should the nurse take?

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