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pn ati fundamentals A nurse working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take? - Tell the nurses that this conversation is not appropriate A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days. Which of the following actions should the nurse take? - Ask the dietitian to recommend alternative food choices for the client A nurse is collecting data from a client who requires bed rest and reports abdominal discomfort. The nurse notes abdominal distention. Which of the following conditions should the nurse identify as an adverse effect of bed rest? - Constipation A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider? - The client has redness and warmth in his calf A nurse is contributing to the plan of care for four clients. Four which of the following clients should the nurse initiate airborne precautions? - A client who has measles A nurse is contributing to the plan of care for a client who is at risk for developing foot drop due to immobility. Which of the following actions should the nurse recommend to the include in the plan? - Support the client's feet with foot boots A nurse is caring for a client who has dysphagia following a stroke. Which of the following interventions should the nurse use when feeding the client? - Instruct the client to tilt her head forward while eating A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence? - A client who has just experienced the death of his child A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off her right leg. Which of the following is the proper crutch gait for the client? - Three-point A nurse is caring for an older adult client and is concerned that the client may have a fecal impaction. Which of the following is the most important question for the nurse to ask? - Have you had small liquid stools? A nurse is collecting data from a client who is 2 days postoperative following a colostomy. Which of the following findings should the nurse report to the provider? - A purple-colored stoma A nurse is caring for a client who has been vomiting excessively and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit? - Urine specific gravity 1.045 A nurse is caring for a client who has a new diagnosis of cancer. Which of the following actions should the nurse take to maintain the client's confidentiality while providing care? - Provide information to another nurse at change of shift A nurse is preparing to obtain a client's vital signs. When washing her hands, which of the following actions should the nurse take? - Turn off the faucet with a clean paper towel after drying hands A nurse is caring for a client who is receiving intermittent enteral feedings. Which of the following is the priority action for the nurse to take? - Measure the client's gastric residual before each feeding

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