Fundies ATI practice A

a nurse manager is preparing to review medication documentation with a group of newly licensed nurses. which of the following statements should the nurse manager plan to include in the teaching? a-use the complete name of the medication magnesium sulfate b-delete the space between the numerical dose and the unit of measure c-write the letter u when noting the dosage of insulin d-use the abbreviation sc when indicating an injection

a-use the complete name of the medication magnesium sulfate

a nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. which of the following actions is the nurses priority? a-request that a respiratory therapist discuss the technique for incentive spirometry with the client b-determine the reason why the client is refusing to use the incentive spirometer c-document the clients refusal to participate in health restorative activities d-administer a pain medication to the client

b-determine the reason why the client is refusing to use the incentive spirometer

a nurse is caring for a client who has terminal illness and is at the end of life. the nurse should recognize that which of the following statements by the clients partner indicates effective coping? a-i'm not worried because i still have hope that he will be ok b-i am relying on support from our family during this time c-we can plan our family reunion once he recovers and comes home d-we don't see any reason to start discussing funeral arrangements right now

b-i am relying on support from our family during this time

a nurse is admitting a new client. which of the following actions should the nurse take while perform medication reconciliation? a-verify the clients name on their id bracelet with the medication administration record b-call the pharmacy to determine whether the clients medication are available c-compare the clients home medications with the providers prescriptions d-place the clients home medication bottles in a secure location

c-compare the clients home medications with the providers prescriptions

a nurse is taking with the partner of a client who has dementia. the clients partner expresses frustration about finding time to manage household responsibilities while caring for their partner. the nurse should identify that the partner is experiencing which of the following types of role performance stress? a-role ambiguity b-sick role c-role overload d-role conflict

c-role overload

a home health nurse is preforming a follow up visit for a client who has a gastrostomy tube through which they receive intermediate 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? a-the client is receiving formula at room temp b-the feedings infuse at a slow continuous drip over 8 hrs each night c-the caregiver washes out the feeding bag with warm water once every 24 hr d-the clients caregiver flushes the tubing with water before and after administering medications

c-the caregiver washes out the feeding bag with warm water once every 24 hr

a nurse is caring for a client who has a sodium level of 125mEq which of the following findings should the nurse expect? a-numbness of extremities b-bradycardia c-positive chvostek sign d-abdominal cramping

d-abdominal cramping

a nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. the nurse notifies the surgeon who tells the nurse to continue to measure the clients vital signs every 15 min and to report back 1 hr. which of the following actions should the nurse take next? a-document the providers statement in the medical record b-complete an incident report c-consult the facility risk manager d-notify the nursing manager

d-notify the nursing manager activate the chain of command to ensure that the client receives timely care

A nurse is planing to insert a peripheral IV catheter for an older adult client. which of the following actions should the nurse plan to take? a-insert the catheter at a 45 degree angle b-place the clients arm in a dependent position c-shave excess hair from the insertion site d-initiate IV therapy in the veins of the hand

b-place the clients arm in a dependent position

a nurse is preparing a change of shift report. which of the following tools or documents should the nurse use to communicate continuity of care? a-critical pathway b-situation background assessment and recommendation c-transfer report d-medication administration record

b-situation background assessment and recommendation SBAR

a nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. to prevent self injury which of the following actions should the nurse take when lifting this object? a-bend at the waist b-keep his feet close together c-use his back muscles for lifting d-stand close to the cabinet when lifting it

d-stand close to the cabinet when lifting it

a nurse on a medical surgical unit is caring for a client who has a new prescription for wrist restraints.which of the following actions should the nurse take? a-pad the clients wrists before applying restraints b-evaluate the clients circulation every 8hr after application c-remove the restraints every 4 hr to evaluate the clients status d-secure the restraint ties to the beds side rails

a-pad the clients wrists before applying restraints use of restraints without padding can abrade skin restraints should be removed every 2 hours

a nurse is caring for a group of clients. which of the following actions should the nurse take to prevent the spread of infection? a-carry a clients soiled linens out of the room in a mesh linen bag b-place a client who is tuberculosis in a room with negative pressure airflow c-provide disposable plates and utensils for a client who is HIV positive d-dispose of a clients blood saturated dressing in a trash bag inside a second trash bag

b-place a client who is tuberculosis in a room with negative pressure airflow

a nurse is preforming a home safety assessment for a client who is receiving supplemental oxygen. which of the following observations should the nurse identifies proper safety protocol? a-the client uses a wool blanket on their bed b-the client identifies the location of a fire extinguisher c-the client stores an extra oxygen tank on its side under their bed d-the client has a weekly inspection checklist for oxygen equipment

b-the client identifies the location of a fire extinguisher equipment should be inspected daily

A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? a-check the client for injuries b-move hazardous objects away from the client c-notify the provider d-ask the client to describe how she felt prior to the fall

a-check the client for injuries