*NURSING > ATI > BASIC CARE AND COMFORT ATI 2021 | ALL ANSWERS CORRECT (All)

BASIC CARE AND COMFORT ATI 2021 | ALL ANSWERS CORRECT

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1. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which statement to the nurse indicates a need for further teaching? a. I only need to catheterize m... yself twice a day b. I carry a water bottle with me because I drink a lot of water c. I use a suppository every night to have a bowel movement d. I do wheelchair exercises while watching TV 2. A nurse is providing hygiene care for a client who is immobile. Which actions should the nurse take? (select all that apply) a. Check for personal items when changing linens b. Place clean gown on strongest arm first c. Keep bath water temp between 110-115 degF d. Shave hair in direction of growth e. Wash extremities from proximal to distal 3. A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures? a. Trochanter roll b. Sheepskin heel pad c. Abduction pillow d. Footboard (YES) 4. A nurse is assessing a client who has narcolepsy. Which of the following findings should the nurse expect? (Select all that apply). A. A lack of rapid eye movement (REM) sleep B. Sudden attacks of sleep (yes) C. Hallucinations at the onset of sleep (YES) D. Sleep apnea E. The urge to move the legs when trying to sleep 5. A nurse is administering a cold therapy application to a client. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? A. Hypotension B. Numbness C. Shivering (yes) D. Reduced blood viscosity [Show More]

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