ATI Capstone Adult Medical Surgical Assessment 1, Actual Exam Questions & Answers (Deeply Explained Answers) 2024 EDITION
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1. A nurse is caring for an adult client who asks about vaccinations against communicable diseases.
The nurse should inform the client that which of the following vaccines are available? (Select all
that apply)
Hepatitis A vaccine
Hepatitis B vaccine
Pneumococcal vaccine
Hepatitis C vaccine
Helicobacter pylori vaccine
Adult vaccines currently available to prevent contracting communicable diseases include those for
hepatitis A & B influenza and pneumonia. No vaccine is currently available for hep C/H. pylori = A, B, C
2. A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following
dietary modifications should the nurse include?
Provide a snack at bedtime
Choose decaffeinated coffee
Restrict intake of fried foods
Avoid drinking liquids with meals
The nurse should instruct the client to avoid fried foods, spicy foods, and acid-producing foods, such as
coffee and chocolate. Spicy foods, such as chili pepper, red pepper, and black pepper can cause mucosal
damage. The nurse should instruct the client to avoid decaffeinated and caffeinated beverages and snacks
at bedtime, which can stimulate gastric acid secretion. A client with dumping syndrome, rather than
peptic ulcer should avoid liquids with meals = C
3. A nurse is caring for a client who is postoperative immediately following a pheochromocytoma
removal. Which of the following actions is the nurseâs priority?
Increase hydration
Monitor blood pressure
Measure urine output
Provide a calm environment
The greatest risk to this client is injury from hypertension due to the release of catecholamines during
surgery or hypotension from the sudden loss of catecholamines after the tumor has been removed.
Therefore, the priority intervention the nurse should take is to monitor the client's blood pressure = B
Author | ProfoundTutor |
Published | 21 Mar 2024 |
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