ATI Comprehensive final

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 in an acute care clinic is talking with the client reports that her osteoarthritis pain in her knees is increasing each day. The client wants to discuss nonpharmacological approaches that will relieve her pain. Which of the following interventions should the nurse suggest?

Apply warm compresses to sore joints

A nurse is caring for a client who spent the past several minutes mumbling about being doomed to die and is now pacing in an increasingly agitated and angry manner. Which of the following actions is the nurses priority?

Attempt to reduce environmental stimuli

A nurse is reinforcing teaching with an assistive personnel about dietary restrictions for a client who is taking phenelzine to treat depression. The APs selection of which of the following foods for the clients lunch indicates an understanding of the instructions?

Chicken salad

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 is caring for a client who is taking acarbose to treat type two diabetes. Which of the following should the nurse monitor for adverse effects?

Diarrhea

A nurse is reinforcing teaching with a client who has hyperthyroidism about managing this disorder. Which of the following recommendations should the nurse include?

Increase her caloric intake with meals

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 is assisting with the plan of care for a client who is post operative following a hip arthroplasty. In the clients medical record, the nurse notes a history of COPD. Which of the following oxygen delivery method should the nurse recommend to use this client?

Nasal cannula

A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of the following findings should indicate to the nurse that the AAA is expanding?

Report of sudden severe back pain

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