PN ATI Capstone Proctored Comprehensive Assessment 2020 B

Questions 67

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PN ATI Capstone Proctored Comprehensive Assessment 2020 B Questions

Question 1 of 5

What teaching points are important for the nurse to discuss with a client with hearing loss who has been fitted for a hearing aid?

Correct Answer: B

Rationale: The correct teaching point for a client with hearing loss who has been fitted for a hearing aid is to use mild soap and water to clean the ear mold. It is important to keep the ear mold clean to prevent infections and maintain proper functioning. Choice A is incorrect because using the highest setting can lead to discomfort and may not be necessary for all situations. Choice C is incorrect as the hearing aid should generally be turned off when not in use, not just during sleep, to conserve battery life. Choice D is incorrect as immersing the hearing aid in saline solution can damage the device; it should be kept dry to prevent malfunction.

Question 2 of 5

A nurse is assessing four clients for fluid balance. Which of the following clients is exhibiting manifestations of dehydration?

Correct Answer: D

Rationale: The correct answer is D because an elevated temperature is a common manifestation of dehydration. Choices A, B, and C are not indicative of dehydration. A urine specific gravity of 1.010 is within normal range, weight gain suggests fluid overload, and a hematocrit of 45% is also within normal limits and not specifically related to dehydration.

Question 3 of 5

A client has been prescribed phenytoin. Which of the following should the nurse monitor to prevent toxicity?

Correct Answer: C

Rationale: Corrected Rationale: Serum phenytoin levels should be regularly monitored to prevent toxicity because the therapeutic range is narrow. Monitoring blood pressure (choice A), complete blood count (choice B), and liver function tests (choice D) are not directly related to preventing phenytoin toxicity.

Question 4 of 5

A nurse is caring for a client prescribed digoxin. Which of the following should alert the nurse to possible digitalis toxicity?

Correct Answer: A

Rationale: Corrected Rationale: Digitalis toxicity is a serious complication of digoxin therapy, particularly in older adults. Early symptoms include anorexia, nausea, and generalized weakness. Anorexia and weakness are common indicators of digitalis toxicity. Hyperactivity, hunger, tachycardia, increased urination, polyphagia, and polydipsia are not typical signs of digitalis toxicity. Monitoring for anorexia and weakness can help detect toxicity early and prevent life-threatening arrhythmias.

Question 5 of 5

A nurse is caring for a client with a prescription for duloxetine. Which of the following should the nurse monitor?

Correct Answer: A

Rationale: The correct answer is A) Liver function. Duloxetine can affect liver function, making it crucial for the nurse to monitor liver function tests. Monitoring serum electrolytes (choice B), blood glucose (choice C), or potassium levels (choice D) is not directly associated with duloxetine use and would not be the priority in this case.

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