ATI Clinical Ticket WK 2 +
A nurse is providing discharge teaching's to a client who has a new prescription for home oxygen therapy via nasal cannula. Which of the following should the nurse include in the teaching? (SATA) *Verify the oxygen flow rate every other day *Check the cannula position on a regular basis *Check the tops of the ears for skin breakdown *Post no smoking signs in a prominent location in the home *Apply petroleum appointment to nails if they become dry and irritated
Answer: 1. Check the cannula position on a regular basis. 2. Check the tops of ears for skin breakdown. 3. Post "no smoking" signs in a prominent location in the home.
A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow: *Breathe in deeply over 2-3 seconds while pushing down on the canister *Exhale slowly through pursed lips *Place lips firmly around mouthpiece *Wait 60 seconds between each puff *Inhale deeply and then exhale completely *Hold breath for 10 seconds
Answer: 1. Inhale deeply and then exhale completely 2. Place lips firmly around mouthpiece 3. Breathe in deeply over 2-3 seconds while pushing down on the canister 4. Hold breath for 10 seconds 5. Exhale slowly through pursed lips 6. Wait 60 seconds between each puff
A charge nurse is reviewing guidelines for initiating airborne precautions. Which of the following clients should the nurse identify as requiring airborne precautions? *A client who has measles *A client who has pertussis *A client who has streptococcal pharyngitis *A client who has scabies
Answer: A client who has measles (A client who has measles requires airborne precautions as well as a negative pressure room.)
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority? *Initiating oxygen therapy *Providing immediate rest for the client *Positioning the client in high-Fowler's *Administering a nebulized beta-adrenergic
Answer: Administering a nebulized beta-adrenergic. (The greatest risk to the client's safety is airway obstruction. Beta-adrenergic medications act as bronchodilators. They provide prompt relief of airflow obstruction by relaxing bronchiolar smooth muscle and are the initial priority intervention when a client has an acute asthma exacerbation.)
A nurse is caring for a client who has heart failure and a history of asthma the nurse reviews the providers orders and recognizes that clarification is needed for which of the following medications? *Captopril *Carvedilol *Furosemide *Digoxin
Answer: Carvedilol
A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider? *Blurred vision *Palpitations *Constipation *Depression
Answer: Depression (Montelukast can cause neuropsychiatric effects such as depression, behavior changes, hallucinations, and suicide ideation. The nurse should instruct the client to report such adverse effects. A change in medication might be prescribed.)
A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications? *Propranolol *Theophylline *Montelukast *Prednisone
Answer: Propranolol
A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects? *Drowsiness *Constipation *Oliguria *Tachycardia
Answer: Tachycardia
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? *Tell the client to blow her nose gently before the instillation. *Assist the client to a side-lying position. *Hold the dropper 2 cm (1 in) above the naris *Instruct the client to stay in the same position for 2 min.
Answer: Tell the client to blow her nose gently before the instillation. (The client should stay in the same position for 5 min to make sure the drops do not run out when the she sits or stands up)
A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases? *Pertussis *Mycoplasma pneumonia *Tuberculosis *Respiratory syncytial virus
Answer: Tuberculosis
