Chapter 2 ATI
A nurse is reinforcing teaching with a client who is prescribed buspirone(BuSpar). Which of the following statements by the client indicates an understanding of the teaching?
"I can have 1 to 2 alcoholic beverages each week".
A nurse working in a hospice facility is taking a clients son who is distressed because his mother cries frequently and says she wants to die. Which is appropriate?
"Let's discuss some strategies you can use when this happens again".
A nurse is caring for a school-aged child who is newly diagnosed with type 1 diabetes Mellitus. Which of the following actions by the nurse is appropriate to prepare the child for administration of insulin?
Allow the child to manipulate the Kecia's equipment.
A nurse is caring for a client who has urinary tract infection and is prescribed ciprofloxacin(Cipro). The client exhibits urticaria and angioedeme following administration of the medication. Which of the following is the first action the nurse should take?
Determine respiratory status.
A nurse is caring for a neonate who was delivered at 30 weeks of gestation after his mother received two injections of betamethasone(Celestine). Because of the administration of betamethasone to the clients mother, the nurse should monitor the neonate for which of the following effects?
Hypoglycemia
A nurse is reinforcing teaching about client consent to treatment with a group of newly licensed nurses. Which statements by a newly nurse indicates a need for further teaching?
It is the responsibility of the provider to obtain express consent.
A nurse is caring for a client who is receiving parenteral nutrition through a non-tunneled central venous catheter and reports hearing a gurgling sound on the side of the catheter. The nurse suspects the catheter has migrated to the jugular vein. What actions should the nurse take first?
Stop the infusion.
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days ago. Which of the following findings is associated with this diagnosis?
elevated temperature
