a nurse is caring for a client who wears glasses what action should the nurse take
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Nursing Elites

ATI RN

ATI Exit Exam 180 Questions Quizlet

1. A nurse is caring for a client who wears glasses. What action should the nurse take?

Correct answer: A

Rationale: The correct action for the nurse to take is to store the glasses in a labeled case. This helps prevent damage and loss of the glasses, ensuring they are kept safe when not in use. Cleaning the glasses with hot water (choice B) can damage the lenses or frames, while cleaning with a paper towel (choice C) might lead to scratches. Storing the glasses on the bedside table (choice D) increases the risk of misplacement or damage.

2. A healthcare professional is assessing a client who has chronic kidney disease. Which of the following findings should the healthcare professional report to the provider?

Correct answer: C

Rationale: The correct answer is C. A serum creatinine level of 2.8 mg/dL indicates impaired kidney function and should be reported to the healthcare provider. Elevated serum creatinine levels are indicative of decreased kidney function and potential progression of chronic kidney disease. Choices A, B, and D are within normal ranges and do not signify immediate concerns related to kidney disease. Urine output of 80 mL/hr is appropriate, a blood pressure of 140/90 mm Hg is considered prehypertensive but not acutely concerning, and a heart rate of 72/min falls within the normal range.

3. A nurse is providing teaching to a client who has a new prescription for digoxin. Which of the following instructions should the nurse include?

Correct answer: B

Rationale: The correct answer is B: 'Contact your provider if you experience visual changes.' Visual changes, such as blurred or yellow vision, can indicate digoxin toxicity and should be reported immediately to the healthcare provider for further evaluation and management. Choice A is incorrect because digoxin can be taken with antacids. Choice C is incorrect because increasing potassium intake can lead to hyperkalemia when taking digoxin. Choice D is incorrect because increased urination is not a common side effect of digoxin.

4. A client who has a new prescription for prednisone is being taught by a nurse. Which of the following statements by the client indicates an understanding of the teaching?

Correct answer: B

Rationale: The correct answer is B because prednisone is usually prescribed for long-term use. Stopping it abruptly can lead to adrenal insufficiency. Choice A is incorrect because prednisone should be taken with food to prevent stomach upset. Choice C is incorrect as prednisone is typically tapered off gradually to avoid adverse effects. Choice D is incorrect as there is no specific requirement to take prednisone with a high-protein snack.

5. What is the most important nursing assessment post-surgery?

Correct answer: A

Rationale: The correct answer is to monitor vital signs post-surgery. Vital signs encompass various parameters like blood pressure, heart rate, respiratory rate, and temperature. Monitoring vital signs helps in early detection of complications such as hemorrhage, infection, or shock. While monitoring the surgical site and incision site are also essential post-surgery, monitoring vital signs takes precedence as it provides a broader assessment of the patient's overall condition. Monitoring blood pressure is part of vital sign assessment and is not the most comprehensive assessment post-surgery.

Similar Questions

A nurse is assessing a client who is receiving opioid analgesics for pain management. Which of the following findings should the nurse report to the provider?
A client with chronic kidney disease is being taught by a nurse about managing protein intake. Which of the following instructions should the nurse include?
A patient refused a newly open fentanyl patch. Which of the following actions should the nurse take?
A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia. Which of the following actions is the nurse's priority?
A client has a new prescription for levothyroxine. Which of the following instructions should the nurse include?

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