Ati test A
A nurse is caring for a client who asked about the purpose of advance directives. Which of the following statements should the nurse make?
"They indicate the form of treatment a client is willing to except in the event of a serious illness."
A nurse is caring for a client who has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect?
Abdominal cramping
A nurse is caring for a client who has herpes zoster and asked the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contradiction for which of the following therapies?
Acupuncture
A nurse is providing discharge teaching to a client about self administering heparin. Which of the following instruction should the nurse include in the teaching?
Administer the medication into the abdomen.
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?
Administer the medication with the needle at a 45° angle
A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?
Advocacy ensures clients safety, health, and rights.
The nurse receives report about the client who has received prescription 125 mL per hour chloride infusing IV. They have only received 80 mL/hour. Which actions should the nurse take first?
Check the IV tubing for obstruction
A nurse is admitting a new client. Which of the following actions should the nurse take a performing medication reconciliation?
Compare the clients home medication with the providers prescriptions
Abdominal wound with a large amount of prevalent drainage
Contact precautions
A nurse is administering 1 L of .9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes to the nurse identify as an indication that the treatment was successful?
Decrease in heart rate
A nurse is assessing for adult clients. Which of the following physical assessment techniques should the nurse use?
Ensure the bladder of the blood pressure cuffs around 80% of the clients arm.
The nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have a fuse the treatment due to the religious beliefs. Which of the following actions should the nurse take?
Examine personal values about the issue.
The nurse is initiating a protective environment has had an allogenic stem cell transplant. Which of the following precautions should the nurse plan for this client?
Make sure the client wears a mask when outside her room if there is construction in the area
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh length sequential compression sleeves. Which of the following actions should the nurse take?
Make sure two fingers can fit under the sleeves
Nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock.
Notify the nursing manager
Wrist restraints
Pat the clients wrist before applying the restraints
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take
Place the clients arm in a dependent position
A nurse is administering in Weediquette medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear
Press gently on the tragus of the clients ear
A nurse is assessing an older adult clients risk for falls. Which of the following assessments should the nurse use to identify the client safety needs? SATA
Pupil clarity Visual fields Visual acuity
A home health nurse is performing a follow up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications.The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea?
The client caregiver washes out the feeding bag with warm water once every 24 hours
A nurse is performing at home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations to the nurse identify as proper safety protocol?
The client uses non-acetone nail polish remover
A nurse is caring for a client who has a terminal illness and is approaching death. Client is short of breath and has noisy respirations from secretions in the airway. Which of the following actions should the nurse take?
Turn the client every two hours
A nurse is teaching a client and his family how to care for the clients tracheostomy at home. Which of the following instruction should the nurse include in the teaching?
Use tracheostomy covers when outdoors.
Pharyngeal diphtheria
droplet
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
regulate oxygen via nasal cannula at a flow rate no more than 6 L/min