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RN ATI Capstone Proctored Comprehensive Assessment

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Which of the following instructions should the nurse include in the teaching? a. Check the functioning of oxygen equipment once each week This should be done daily b. Wear clothing made with cotton fabrics while oxygen ...

Which of the following instructions should the nurse include in the teaching? a. Check the functioning of oxygen equipment once each week This should be done daily b. Wear clothing made with cotton fabrics while oxygen is in use Cotton fabrics should be used rather than synthetic or woolen fabrics. c. Apply petroleum-based lubricant to the nares as needed d. Store full oxygen tanks on their side A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of terminal cancer. The client tells the nurse that they would like to go home to be with family and loved onces. Which of the following actions should the nurse take? a. Contact the facility chaplain to visit with the client b. Explain the process of leaving the facility against medical advice c. Make a referral to social services Obtain referral to ensure that the client’s needs at home are met. They can set up home care or hospice services for the client if needed d. Encourage the client to continue with inpatient care A nurse is caring for a client who has a clogged percutaneous gastronomy feeding tube. Which of the following actions should the nurse take first? a. Obtain a prescription for the client to receive an enzyme product b. Aspirate the client’s tube c. Flush the client’s tube with 30 ml of water d. Change the position of the client Least restrictive intervention first A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? a. Administer a bowel preparation the night before the procedure b. Place the client on bed rest for 24 hr after the procedure c. Perform pulmonary function tests following the procedure d. Instruct the client to avoid coughing during the procedure It is important for the nurse to remind the client to avoid coughing and to lie still during a thoracentesis to avoid puncturing the pleura A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? a. Weight gain b. Decrease in anteroposterior diameter of the chest c. HCO3- 24 mEq/L d. pH 7.31 Respiratory acidosis is an expected finding for a client who has COPD

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