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nursg 1202 Med Surg Exam
ATI nursg 1202 Med Surg Exam
Total Questions : 50
Showing 10 questions Sign up for moreA nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?
Explanation
A. Weakness is a hallmark symptom of myasthenia gravis, resulting from the impaired transmission of nerve impulses to muscles. Monitoring for weakness is crucial to assess the progression of the disease.
B. Confusion is not typically a direct manifestation of myasthenia gravis; it may occur due to other factors but is not a primary concern.
C. Increased intracranial pressure is not associated with myasthenia gravis. The condition primarily affects muscle strength.
D. Increased urinary output is not relevant to myasthenia gravis and does not indicate a manifestation of the disease.
A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?
Explanation
A. Restricting fluid intake is inappropriate in Addison's disease; hydration is important.
B. A low-carbohydrate diet is not indicated; clients need adequate carbohydrates and sodium.
C. Administering oral corticosteroids is essential in preventing an Addisonian crisis by replacing deficient hormones.
D. Weighing the client daily is helpful but does not directly prevent an Addisonian crisis.
A nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?
Explanation
A. An increased WBC count is not expected; often, patients with AIDS have leukopenia due to immune system compromise.
B. Increased hemoglobin is not typical; anemia is more common in these patients.
C. Weight gain is unlikely; weight loss and wasting are more common in late-stage AIDS.
D. Night sweats are a classic symptom of AIDS due to opportunistic infections and other complications.
A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?
Explanation
A. Ulnar deviation is more characteristic of rheumatoid arthritis, not osteoarthritis.
B. Weight loss is not typically associated with early osteoarthritis; patients may experience weight gain due to decreased activity.
C. Pain worsens with activity is a common symptom of osteoarthritis, as joint use tends to exacerbate pain.
D. Osteoarthritis typically affects joints asymmetrically rather than symmetrically.
A nurse is preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should plan to include which of the following findings as a manifestation of SLE?
Explanation
A. A raised rash, such as a butterfly rash across the cheeks, is a classic manifestation of SLE.
B. Muscle hyperreflexia is not a typical symptom of SLE.
C. Weight gain is not commonly associated with SLE; patients may experience weight loss or fluctuations.
D. Hypothermia is not characteristic of SLE; patients may experience fever due to inflammation.
A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?
Explanation
A. Goiters can occur with hypothyroidism but are not typically fatal.
B. Sjogren's syndrome is an autoimmune disorder that can occur with thyroid disease but is not directly fatal.
C. Hashimoto's disease is a common cause of hypothyroidism but not a fatal condition itself.
D. Myxedema coma is a severe, life-threatening condition that can occur due to untreated hypothyroidism and requires immediate medical attention.
A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?
Explanation
A. Increasing carbohydrate intake is not advisable; clients with Cushing's disease often need to manage blood sugar levels.
B. Decreasing protein intake is inappropriate; adequate protein is necessary for tissue repair and maintenance.
C. Restricting sodium intake is crucial to manage fluid retention and hypertension associated with Cushing's disease.
D. Limiting intake of potassium-rich foods is incorrect; potassium is often depleted, and clients may need more potassium.
A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Explanation
A. Diuretics are not a direct risk factor for osteoarthritis.
B. Obesity increases stress on weight-bearing joints, significantly contributing to osteoarthritis risk.
C. Aging is a major risk factor due to the natural wear and tear on joints over time.
D. Smoking is not directly linked to osteoarthritis but can influence overall health; however, it’s not
considered a primary risk factor for osteoarthritis.
E. Osteoarthritic is related to wear and tear and not bacteria.
A nurse is performing an assessment on a client who has osteoarthritis of the knee. Which of the following assessment findings should the nurse expect?
Explanation
A. Weakness is not a primary symptom of osteoarthritis but may occur due to pain.
B. Malaise is more common in inflammatory conditions like rheumatoid arthritis, not osteoarthritis.
C. Fever is not associated with osteoarthritis; it’s more typical of inflammatory diseases.
D. Crepitus, or a crackling sensation during joint movement, is a common finding in osteoarthritis due to the degradation of cartilage.
A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
Explanation
A. White blood cell (WBC) count is not specific for evaluating the effectiveness of aspirin.
B. Rheumatoid factor (RF) tests for the presence of antibodies but does not measure pain or inflammation.
C. Antinuclear antibody (ANA) is used for diagnosing lupus, not RA treatment effectiveness.
D. Erythrocyte sedimentation rate (ESR) is a marker for inflammation and can help assess the response to treatment in rheumatoid arthritis.
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