ATI Med Surg Practice A 2020 with
rationales
A nurse is reinforcing teaching with a client who has mitral valve disease. Which of following
statements by the client indicates an understanding of the disease process?
...
ATI Med Surg Practice A 2020 with
rationales
A nurse is reinforcing teaching with a client who has mitral valve disease. Which of following
statements by the client indicates an understanding of the disease process?
A. "I should call my doctor if I get a headache."
B. "I might develop gastric reflux."
C. "I might develop excessive bruising."
D. "I should call my doctor if my ankles swell."
D. "I should call my doctor if my ankles swell."
RAT: Swelling of the ankles can indicate heart failure. The client should report this finding to
the provider.
-A provider might prescribe anticoagulants to prevent thrombus formation on the valve, which
can cause excessive bruising for a client who has mitral valve disease. However, excessive
bruising is not a direct result of the disease.
A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation
of rheumatoid arthritis. Which of the following information should the nurse include in the
teaching?
A. Apply cold packs to the inflamed joints.
B. Participate in high-impact exercise.
C. Carry a hand purse rather than a shoulder bag.
D. Sleep on a soft foam mattress.
A. Apply cold packs to the inflamed joints.
RAT: The nurse should instruct the client to use both warm and cold packs on inflamed joints to
decrease pain.
A nurse is collecting data from who has hypothyroidism. Which of the following manifestations
should the nurse anticipate?
A. Blurred vision
B. Insomnia
C. Bradycardia
D. Weight loss
C. Bradycardia
-The nurse should identify that blurred vision is a manifestation of hyperthyroidism
-The nurse should identify that insomnia is a manifestation of hyperthyroidism that is caused by
an increase in the client's metabolic rate.
-The nurse should identify that weight loss is a manifestation of hyperthyroidism caused by an
increase in the client's metabolic rate.
RAT: The nurse should identify that bradycardia is a manifestation of hypothyroidism that is
caused by a decrease in the client's metabolic r
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