ATI-RN Fundamentals 2019 A test with correct solutions

ATI-RN Fundamentals 2019 A test with correct solutions Nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following should the nurse include in the teaching? nurs ...

ATI-RN Fundamentals 2019 A test with correct solutions Nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following should the nurse include in the teaching? nurse is performing a follow-up visit for a client who has a G-tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a cause of the diarrhea? nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? nurse is assessing a client who reports increased pain following pt. Which of the following questions should the nurse ask hen assessing the quality of the client's pain? nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? Nurse caring for a client who has a respiratory infection. What technique should she use when preforming nasotracheal suctioning? Nurse is preparing for change of shift. Which document or tools should the nurse use to communicate? Nurse is planning care for a client who had a stroke. What should be assigned to the assistive personal? (SATA). Nurse caring for a client who has dementia. What interventions should be taken to minimize risk for injury? Nurse performing a skin assessment for a client who expresses concern about skin cancer. What findings should the nurse identify as a potential indication of a skin malignancy? Nurse is administering optic ear medication on an adult client. Which action should be done to ensure the medication reached the inner ear? Nurse is planning strategies to manage time effectively for client care. What should the nurse implement? Nurse caring for a client who has a sodium level of 125. What findings should the nurse expect? Nurse is preparing an education program for staff about advocacy. What information should the nurse include? Nurse is preparing to administer enoxaparin subcutaneously. Which of the following actions should the nurse take? A nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant. Which precaution should the nurse plan for this client? Nurse providing discharge instructions for client who will be using a walker. Which statement indicates an understanding of the teaching? Nurse planning to insert IV for an older adult client. What actions should the nurse plan to take? A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care, when should the nurse initiate discharge planning? A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, "What would happen if I arrived at the ED and I had a difficulty breathing?" Which of the following responses should the nurse make? A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? Nurse auscultating anterior chest who is newly admitted. Listen--- Caring for a client who died. Which order do you do the steps? A nurse is providing discharge teaching to a client about self-administering heparin. A nurse caring for a client who asks about the purpose of advance directives 1. Nurse is assessing an older adult for risk for falls (SATA) Nurse assessing a client who is on bed rest for past month. Indication of thrombophlebitis? Deep tendon reflex -- patellar reflex Postop client with fluid volume deficit. Changes indicate successful treatment Nurse is reviewing EBP about administration of O2 therapy Nurse responding to call light and finds client on bathroom floor. FIRST Nurse caring for client prescribed blood transfusion. Parents refuse due to religious beliefs. What should the nurse do? Nurse caring for client approaching death. SOB, noisy respirations. What should they do? Nurse is assessing readiness to learn about insulin self-administration. What indicates the client is ready to learn?. Nurse receives report about a client getting IV fluids infusing 125ml/hr but notes he has only gotten 80 mL over the last 2 hours. What should nurse do first? nurse is preparing an injection for opioid medication. Draws 1mL from 2mL vial, what should the nurse do?? Nurse caring for a group of clients. Prevent spread of infection Nurse caring for client at end of life. Which statement by client's partner is effective coping? Nurse caring for postop client following knee arthroplasty and requires thigh high compression sleeves. What should the nurse do? Nurse using an open irrigation technique for client's catheter. What action should nurse take? Nurse is caring for a client who has pharyngeal diphtheria. Transmission precautions? Postop, signs of hemorrhagic shock. Nurse notifies surgeon and he said to continue to monitor vitals every 15 minutes and report in one hour. What should the nurse do next? Reviewing client's fluid and electrolytes status. What should nurse report to provider? Nurse caring for client postop. When nurse prepares to change dressing, client says it hurts. Which intervention is the nurse's priority action? Nurse admitting new client. Medication reconciliation? Nurse admitting client with abdominal wound with a large amount of purulent drainage. Which precaution? Nurse lifting bedside cabinet. Prevent self-injury by? Preparing to apply dressing to stage 2 pressure injury. Which type of dressing should the nurse use? Nurse talking with a client's partner. She is having frustrations about managing responsibilities and care. What type of role performance stress is this? Nurse is evaluating a client's use of cane. What is the correct use? Math Question 7 hours Nurse manager is reviewing medication documentation. Which of the following statements should the nurse plan to include in teaching? Nurse caring for client who has herpes zoster. Client asks about complementary and alternative therapies for pain control. Nurse should inform client that this condition is a contraindication for which of the following therapies? Nurse caring for a client who has diarrhea due to shigella. Precautions to implement? Nurse caring for client postop refuses to use incentive spirometer following major abdominal surgery. Nurse's priority? Client postop is verbalizing pain at a 2 on a scale from 0-10. Indication that client understands pain management? A nurse is assessing 4 adult clients. Which of the following physical assessment techniques should the nurse use? Nurse caring for client who has prostate cancer. Provider discusses treatment options and leaves room. Client declines to talk about concerns. Which of the following statements should the nurse make?