*NURSING > EXAM REVIEW > ATI PRACTICE A QUIZ 1020 ALREADY PASSED (All)
A NURSE IS PROVIDING HYGIENE CARE FOR A CLIENT WHO IS IMMOBILE WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE TAKE? (Select all that Apply) A: Check for personal items when changing the bed linens ... B: Place a Clean Gown on the strongest arm first C: Keep the bath water temperature between 43.3 *C (110*F) and 46.1 *C (115*F) D: Shave the client's hair in the direction of the hair growth E: Wash the client's extremities from proximal to distal ✔✔A, C, D A nurse is planning care for an older adult who is at risk for developing pressure ulcers. which of the following interventions should the nurse use to help maintain the integrity of the client's skin? A: Use a transfer device to lift the client up in the bed B: Apply cornstarch to keep sensitive skin areas dry C: Massage the skin over the client's bony prominences D: Elevate the head of the bed no more than 45* ✔✔AA nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feeding via a gastrostomy tube due to an inability to swallow. Which of the following is a priority action by the nurse? A: observe the client's respiratory status B: Elevate the head of the client's bed 30* to 45* C: Monitor intake and output every 8 hours D: Check residual volume every 4 to 6 hours ✔✔B A nurse is caring for a client who is scheduled for an elective surgical procedure . Which of the following actions should the nurse take regarding informed consent? A; obtain the client's consent B: Witness the Client's signature C: Explain the risks and benefits of the procedure D: Explain the procedure to the client if they do not understand ✔✔B A nurse is attending a social event when another guest coughs weakly once, gasps his throat with his hands, and cannot talk. Which of the following actions sho [Show More]
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