ATI Comprehensive final

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ATI Comprehensive final A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a surgical procedure in the morning. The child has been crying despite his pa... rents presence at his bedside. The nurse should recommend engaging the child in therapeutic play for the care plan because it offers which of the following benefits? - ✔✔Allows the child to manipulate toy medical equipment A nurse is collecting data from a school age child who has celiac disease. Which of the following findings should the nurse expect? - ✔✔Steatorrhea A hospice nurse is visiting with the family member of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the clients insomnia? - ✔✔The client watches television in her bed during the day A nurse is caring for a client during Her first prenatal visit and notes that she is lactose intolerant. Which of the following foods should the nurse include on the list of calcium sources for this client? - ✔✔Collard greens A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections during pregnancy. Which of the following responses should the nurse make? - ✔✔The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more common A nurse in a prenatal clinic is collecting data from several clients. which of the following client reports should the nurse identify as an expected physiologic adaptation to pregnancy? - ✔✔Breast tenderness A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take? - ✔✔Apply continuous pressure to the lower part of the child's nose A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate 4.8. Which of the following findings is the priority for the nurse to report to the provider? - ✔✔Hyperkalemia A nurse at a family planning clinic is preparing to give a presentation to clients about to use a diaphragm. Which of the following information should the nurse plan to include in the session? - ✔✔Use spermicidal jelly whenever you use your diaphragm A nurse is reinforcing discharge teaching to a client who does not speak the same language as the nurse. The clients neighbor, who speaks to the clients native language and the nurses, arrives to drive the client home. Which of the following actions should the nurse take? - ✔✔Obtain the services of an interpreter A nurse in the providers office is talking with an older adult client reports having trouble sleeping. Which of the following statements should the nurse identify as a possible causes for the patients sleeping difficulties? - ✔✔I often have a cup of coffee with my dessert before going to bed A nurse is reinforcing teaching with a client who has a new prescription for sertraline. The client asked the nurse if we should continue to take St. John's wort for depression. Which of the following instructions should the nurse to give the client? - ✔✔Stop taking the herbal supplement while taking the medication A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia. The nurse should identify that an increase in which of the following parameters is an early indication of agranulocytosis? - ✔✔Temperature A nurse is assisting to plan teaching about secondary prevention actions for colorectal cancer for a health fair for adults in the community. Which of the following topics should the nurse recommend to include - ✔✔The importance of colonoscopy screening starting at age 50 years old A nurse delegates newly Licensed nurse to provide one on one observation for a client who requires suicide precautions. Which of the following actions by the newly licensed nurse indicates the need for further reinforcement of teaching? - ✔✔Ambulates the client's roommate while the client sleeps A nurse is caring for a client who has MRSA infection. A dietary assistant asks the nurse what precautions are necessary for entering the clients room with the lunch tray. Which of the following instructions should the nurse give the dietary assistant? - ✔✔Don gloves when entering the room and use hand sanitizer when exiting A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize her femur fracture. Which of the following actions should the nurse recommend for the clients plan of care? - ✔✔Offer the client a diet high in fluid and fiber A nurse is collecting data from a client who has tuberculosis and a prescription for EthAmbutol. The nurse should inform the client that he is likely to develop which of the following alterations as an adverse effect of this medication? - ✔✔Loss of red\green color discrimination I nurse is assisting with the care of a client who had a precipitous delivery. The nurse should identify the collection which of the following data as a priority during the fourth stage of labor? - ✔✔Palpating the clients fundus A community health nurse is contributing to the plan of care for for high-risk newborns who were discharged yesterday. Which of the following newborns should the nurse recommend to care for first? - ✔✔A four day old newborn who has elevated Bilirubin level and requires photo therapy A nurse is caring for a client who has borderline personality disorder and is expressing concern about needing prolonged hospitalization. Which of the following statements should the nurse make ? - ✔✔Tell me what concerns you most about being hospitalized A nurse is reinforcing teaching for a client who has coronary artery disease about the difference between angina pectoris and myocardial infarction. Which of the following manifestations should the nurse identify as indications Of a myocardial infarction? - ✔✔Diaphoresis, dizziness, anxiety, impending doom, nausea, and vomiting A nurse on a mental health unit is caring for a client who has depression. Which of the following actions should the nurse take to foster a therapeutic environment for this client? - ✔✔Build trust with the client by sitting quietly with him A nurse on the antepartum unit is caring for a client who is at 28 weeks of gestation and reports dizziness when lying on her back. Into which of the following positions should the nurse assist the client? - ✔✔Lateral A nurse is collecting data from a client who is taking varenicline for smoking cessation . Which of the following findings is nurses priority? - ✔✔Erratic Behavior A nurse is assisting with the admission of a client who has a urinary tract infection and a history of Myelomeningocele. After the admission history is complete, which of the following actions should the nurse recommend? - ✔✔Attach a latex allergy alert identification band A nurse is reinforcing teaching with the parent of a toddler who is undergoing insertion of tympanostomy tubes. Which of the following statements should the nurse include? - ✔✔The tubes should stay in place until they fall out on their own A nurse in an urgent care center is collecting data from an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report to the provider as an indication of impending airway obstruction? - ✔✔Nasal flaring A nurse is preparing to administer medications to a client who is unconscious. The nurse should bring the medication administration record to the clients bedside and perform which of the following verification procedures? - ✔✔Compare the medical record number and name on the medication administration record with the clients identification band A nurse at a long-term care facility notes that a client who has dementia is having problems with orientation. Which of the following actions should the nurse take to improve the clients level of orientation? - ✔✔Post a large calendar on the bulletin board A nurse is caring for a client who has chronic phantom limb pain following and above the knee amputation. Which of the following medication prescriptions should the nurse verify with the provider? - ✔✔Meperidine A nurse is caring for a client who has dehydration. Which of the following laboratory values should the nurse expect for this client? - ✔✔Hematocrit 55% A nurse is reinforcing teaching with a client who is scheduled for LASIK surgery which of the following information should the nurse include? - ✔✔Your procedure will only take 10 to 15 minutes per eye A provider tells a client who reports practicing Hinduism that at 12 weeks gestation she needs more protein in her diet and suggest eating more meat. After the provider leaves examination room, the client tells the nurse that eating animal products will cause her to miscarry. Which of the following responses should the nurse make? - ✔✔Let's discuss other foods that are also high in protein that you could substitute for meat A nurse on a mental health unit is caring for a client who has antisocial personality disorder and is becoming increasingly loud and belligerent. Which of the following approaches should the nurse use to manage the clients behavior? - ✔✔Speak to the client with clear calm caring statements A nurse is caring for an adolescent client who gave birth to a stillborn preterm fetus. The client is crying and says to the nurse why did this happen to me? Which of the following responses should the nurse make? - ✔✔This must be so difficult for you The charge nurse is coordinating the evacuation of clients from the facility following a bomb threat. Which of the following actions should the nurse take when implementing the evacuation process? - ✔✔Instruct clients who are able to ambulate to leave A nurse is reinforcing teaching with a client who has hypothyroidism and is taking levothyroxine. the nurse should instruct the client to report which of the following manifestations to the provider? - ✔✔Chest pain A nurse participating in the community health fair is providing information to a client who has a blood pressure of 150/90 during a blood pressure screening. Which of the following actions should the nurse take? - ✔✔Give the client a written record of his blood pressure to bring to his provider A nurse is assisting to prepare for the transfer of a client from the post anesthesia care unit following a sub total thyroidectomy. Which of the following equipment should the nurse have available at the patient's bedside? - ✔✔Tracheostomy tray A nurse is talking with a group of clients at a senior center about the risk factors for osteoporosis. Which of the following statements should the nurse include? - ✔✔Extended periods of immobility increase your risk for osteoporosis A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication? - ✔✔INR 3.0 A nurse is preparing to administer 10 units of insulin glargine and four units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse take? - ✔✔Use separate syringes for administering insulin glargine and NPH insulin A nurse is reinforcing discharge teaching with a client who has had a transient ischemic attack. Which of the following instructions should the nurse include? - ✔✔Reduce dietary sodium A nurse is assisting with planning recreational activities for a young adult client who has an acute exacerbation of schizophrenia. Which of the following activities should the nurse recommend for the client? - ✔✔Walking with a staff member A nurse is caring for a toddler. Which of the following objects should the nurse select from the playroom for this child during hospitalization? - ✔✔A 10 piece wooden puzzle Ours in an acute mental health facility is caring for a client who has schizophrenia. The client asks the nurse can I vote in the upcoming presidential election? Which of the following responses should the nurse make? - ✔✔We can work together to find out how you can get a mail in ballot A nurse is reinforcing teaching with the [Show More]

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