ATI MED-SURG PART B (90 Q&A) (New-2021)(Verified Q & A)

A nurse is reinforcing teaching with an older adult client who has osteoporosis. Which of the following instructions should the nurse in the teaching? a) "Place throw rugs on wooden floors at home." b) "Supplement your diet with vitamin E.” c) “Swim laps for 20 minutes twice per week." (The nurse should instruct the client to take calcium carbonate supplements with or following meals to increase absorption and effectiveness.) A nurse is reviewing the medication record of a dient who is taking digoxin. Which of the following medications should the nurse identify as increasing the risk for the client to develop digoxin toxicity? a) Potassium chloride b) Famotidine c) Levothyroxine d) Furosemide (The nurse should identify that loop diuretics, such as furosemide, increase the urinary excretion of potassium, which can lead to hypokalemia. Hypokalemia increases the risk for the development of digoxin toxicity.) A nurse is reinforcing teaching about insulin injections with an adult client who weighs 45.4 kg (100 Ib.). Which of the following statements by the client indicates an understanding of the teaching? a) "I should insert the needle at a 90-degree angle.” b) "Ishould give my shot in my belly tissue." (Clients who have low body weights can have very little subcutaneous tissue. Therefore, the nurse should instruct the client to administer the medication in the upper abdomen for proper absorption.) c) "I will pull back on the syringe plunger to look for blood before I push the medication in.” d) "I will use the side of my hand to pull my skin to the side prior to administering the insulin.” A nurse is reinforcing discharge teaching for a dient who had a mechanical mitral valve replacement. Which of the following statements by the client indicates an understanding of the teaching? a) "Iwill notify my dentist about this procedure.” (The nurse should instruct the client to notify his dentist about the mechanical mitral valve replacement before any procedures so antibiotic therapy can be initiated to reduce the risk of endocardial infection.) b) "I will take an enteric-coated aspirin daily.” c) “I will use a firm-bristled toothbrush." d) “I will weigh myself once a week." A nurse is reviewing the medical record for an older adult dient who is experiencing nausea and vomiting. Based on the cient data, which of the following actions should the nurse take? (Click on the “Exhibit” button for additional cient information. There are three tabs that contain separate categories of data.) Potassium 4.2 mEq/L. BUN 36 mg/dL Creatinine 1.4 mg/dL Lungs clear to auscultation Decreased skin turgor Dry mucous membranes Exhibit 1 Exhibit 2 Exhibit 3 Diagnosis Results Nurses’ Notes Graphic Record Sodium 142 mEq/ 1200: Alert and oriented x3 Temperature 0800: 37.7° C (99.9° F) 1200: 37.2° C (99.0° F) Pulse 0800: 96/min 1200:105/min Respiratory rate 0800: 18/min 1200: 20/min Blood pressure 0800; 118/62 mmHg 1200: 104/65 mm Hg a) Encourage the client to ambulate. b) Administer an antipyretic medication. c) Notify the charge nurse of the client's BUN level (The client's BUN level is above the expected reference range of 10 to 20 mg/dL, which indicates dehydration and impaired renal function. The nurse should notify the charge nurse of this finding and anticipate interventions to restore the client's fluid volume.) d) Keep the temperature in the client's room warm. 6.