ATI cummulative assessment

A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following actions should the nurse plan to take?

Flus the tube with 15 mL of sterile water The nurse should flush the feeding tube with 15 to 30 mL of sterile water before administration and between each medications. The nurse should flush the feeding tube with 30 to 60 mL of sterile water following the administration of the last medication

A charge nurse is a discussing the responsibility of nurses caring for clients who have a C. Diff infection. Which of the following information should the nurse include in the teaching?

Have family members wear a gown and gloves when visiting

A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take?

Subtract the amount of irrigant used from the client's urinary output (open irrigation requires instilling 30-40 mL of irrigation fluid)

arterial bruits

blowing sounds resulting from blood flowing through occluded or narrowed arteries

When administering an otic medication to an older adult

press gently on the tragus of the ear to help the medication get into the inner ear

A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs?

- pupil clarity - visual fields - visual acuity

A nurse is providing care to four clients. Which of the following situations requires the nurse to complete an incident report?

A client who has an IV infusion pump receives an additional 250 mL/IV fluid