ATI RN Comprehensive Predictor 2023
1. A nurse is providing teaching about the gastrostomy tube feedings to the
parents of a school age child. Which of the following instructions should the nurse
take?
a) Admini
...
ATI RN Comprehensive Predictor 2023
1. A nurse is providing teaching about the gastrostomy tube feedings to the
parents of a school age child. Which of the following instructions should the nurse
take?
a) Administer the feeding over 30 min.
b) Place the child in a supine position after the feeding.
c) Change the feeding bag and tubing every 24 hours.
d) Warm the formula in the microwave prior to administration.
Rationale: Feeding bags and tubing should be changed every 24 hours to prevent
bacterial growth. Feedings should be given slowly via gravity, and the child should be
positioned with the head elevated to prevent aspiration. Formula should never be
microwaved due to the risk of hot spots causing burns.
2. A nurse is administering digoxin 0.125 mg PO to an adult client. For which of
the following findings should the nurse hold the medication and report to the
provider?
a) Potassium level 4.2 mEq/L
b) Apical pulse 58/min
c) Digoxin level 1 ng/mL
d) Constipation for 2 days
*Rationale: Digoxin decreases the heart rate. A common parameter for holding the
medication is an apical pulse less than 60/min in an adult. A potassium level of 4.2 is
normal, a digoxin level of 1.0 is within the therapeutic range (0.5-2.0 ng/mL), and
constipation is not directly related to digoxin toxicity requiring the medication to be
held. *
3. A nurse is caring for a client who is comatose and has advance directives that
indicate the client does not want life-sustaining measures. The client’s family
wants the client to have life-sustaining measures. Which of the following actions
should the nurse take?
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