ATI FUND 2

A nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which of the following actions should the nurse take?

Pinch the NG tube while removing the tube.

A nurse is replacing the surgical dressing on a client who had abdominal surgery. Which of the following actions should the nurse take? A. Don clean gloves to remove old dressing B. Loosen the dressing by pulling the tape away from the wound C. Remove the entire old dressing at once D. Open sterile wound after applying sterile gloves

Don clean gloves to remove the old dressing

A nurse is changing the bed linens for a client who is one bed rest. Which of the following actions should the nurse plan to take?

Hold the linens away from the body and clothing

A nurse planning to collect stool specimen for ova and parasites from a client who has diarrhea. Which of the following actions should the nurse take when collecting the specimen?

Place the stool specimen collection container in a biohazard bag

A nurse is performing suctioning for a client who has a tracheostomy. Which of the following actions should the nurse take?

Pull the suction catheter back 1 cm (0.5 in) if client starts coughing

A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion pump. Which of the following actions should the nurse take first?

Remove the sleeve of the gown from the arm without the IV line

A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the nurse discovers the client is unresponsive to verbal or painful stimuli, has no respiration, and is pulseless. Which of the following actions should the nurse take first?

Start chest compression

A nurse is contributing to the plan of care for a client who has fluid volume excess. Which of the following interventions should the nurse plan to include to monitor the client's weight?

Weigh the client on arising.

A nurse is planning to administer pain medications to a client who has postoperative pain following abdominal surgery. Which of the following actions should the nurse take first?

Use the pain scale to determine the client's pain level

A nurse is performing a straigh urinary catherization for a female client who has urinary retention. Which of the following actions indicates the nurse is maintaining sterile technique?

Wipes the labia minora in an anteroposterioir direction

A nurse is caring for a client who has a hearing impairment. Which of the following interventions should the nurse use when speaking with the client?

face the client when speaking