ATI -

appropriate sequence for nurse to perform the abdominal assessment

1. inspect 2. auscultate 3 percuss 4 palpate

A nurse is caring for a client wh o has a terminal illness. The client asks several questions about the nurses religiuos beliefs related to death and dying. Which of the following actions should the nurse take? a. change the topic because the clietn is trying to divert attention from the illness to the nurse b encourage the client to express his thoughts about death and dying c tell the client that religious beliefs are a personal matter d offer to contact the clients minister of the facilities chaplain.

b encourage the client to express his thoughts about death and dying

a nurse is inserting an iv catheter for a client that results in a blood spill on her gloved hand. The client has not documented bloodstream infection. Which of the following actions should the nurse take? a wash the gloved hands and then throw the gloves away b prepare an incident report to document the event c carefully remove the gloves and follow with hand hygiene d ask the provider to order a blood culture to determine the risk of infection

c carefully remove the gloves and follow with hand hygiene

a nurse is obtaining the blood pressure in a client's lower extremity. Which of the following actions should the nurse take? a auscultate for the blood pressure at the dorsails pedis artery b measure the blood pressure with the client sitting on the side of the bed c place the cuff 7.6 cm (3") above the popliteal artery d place the bladder of the cuff over the posterior aspect of the thigh

d. place the bladder of the cuff over the posterior of the thigh

A nurse is witnessing a client sign an informed consent form for surgery. Which of the followig describes what the nurse is affirming by this action? a. the client fully understands the providers explaination of the procedure b. the client has been informed abou tthe risks and benefits of the procedure c. the nurse witnessed the proviers explaination fo the procedure d. the signatures on the preoperative consent form is the clients

d. the signatures on the preoperative consent form is the clients