(answered) ATI - Comprehensive Practice 2020 A, Distinction Level Assignment Has everything.
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Course
Mental Health 2 - ATI (MH2_ATI)
Institution
Rasmussen College
ATI - Comprehensive Practice 2020 A
a nurse is planning care for a client who is receiving heparin to treat a deep vein thrombosis of the left lower leg. which of the following interventions should the nurse include in the plan of care?
a nurse is teaching a group of guardians about child sa...
ATI - Comprehensive Practice 2020 A
a nurse is planning care for a client who is receiving heparin to treat a deep vein
thrombosis of the left lower leg. which of the following interventions should the
nurse include in the plan of care?
- elevate the affected leg
ambulation should be encouraged
a nurse is teaching a group of guardians about child safety measures. which of the
following statements by a guardian indicates an understanding of the teaching?
- I should have my child avoid sun exposure between 10 am and 2 pm
a home health nurse is providing teaching about infection prevention to a client
who has cancer and is receiving chemotherapy. Which of the following statements
by the client indicates an understanding of the teaching?
- I will walk for short distances throughout the day
a nurse is providing dietary teaching to the parents of a 6 month old infant. which
of the following instructions should the nurse include?
- Introduce new foods one at a time over 5 to 7 days
a charge nurse is planning care for a client who has mechanical restraints in place.
which of the following interventions should the nurse include in the plan? -
Provide a staff member to stay with the client continuously
can be physically or using an audiovisual device
need to document every 15-30 minutes, a new prescription should be in every 4 hrs
for adults, every 3 hrs for 9-17 years and every hour for those younger
a community health nurse is assisting with the development of a disaster
management plan. the nurse should include which of the following nursing
responsibilities in the disaster response stage of the plan?
- performing a rapid needs assessment
a nurse manager is assisting with the orientation of a newly licensed nurse. which
of the following actions by the nurse requires the nurse manager to intervene?
- tells the hospital chaplain a clients diagnosis
,a nurse is caring for a client who is in labor at 39 weeks of gestation. during the
second stage of labor, the nurse observes early deceleration on the monitor tracing.
which of the following actions should the nurse take? - continue observing the fetal
heart rate
these are an expected finding
a nurse manager is planning to make changes to the current scheduling system on
the unit. to facilitate the staff's acceptance of this change, which of the following
actions should the nurse manager take first? - provide information about
scheduling issues to the staff
unfreezing stage - increase understanding of why change is needed
a nurse is planning teaching about allowable foods for a client who has a history of
uric acid based urinary calculi formation. which of the following foods should the
nurse include in the teaching? - oranges
can eat citrus fruits
no chicken, no organ meats like liver, no red wine (avoiding purine)
a charge nurse is teaching a newly licensed nurse how to identify true labor. which
of the following should the nurse include in the teaching? - the cervix transitions to
an anterior position
contractions will be felt in the lower abdomen and back, intensity increases with
ambulation, cervix shortens and thins
a nurse on a medical surgical unit is caring for a client prior to a surgical
procedure. which of the following findings should indicate to the nurse that the
client has the ability to sign the informed consent? - the client is able to accurately
describe the upcoming procedure
a charge nurse assigns a newly licensed nurse to care for a client who has a chest
tube. The nurse expresses concern about having limited experience with
monitoring chest tube drainage. which of the following actions should the charge
nurse take first to provide teaching about chest tubes? - ask the nurse about their
knowledge of the procedure
, a nurse is teaching a client who has a new prescription for estradiol. for which of
the following adverse effects of this medication should the nurse instruct the client
to monitor and report to the provider? - headaches - can be indicative of a
thromboembolic stroke
a nurse is preparing to administer diazepam 0.3mg/kg IV bolus to a toddler who
weighs 22 lb and is experiencing a grand maul seizure. availabale is diazepam
solution for injection 5mg/mL. how many mL should the nurse administer? 0 - 0.6
mL
a nurse is caring for a client who is 12 hours postoperative, is receiving PCA for
pain control, and requires a blood pressure check in 10 min. which of the following
staff members should the nurse assign to collect the information? - An assistive
personnel (AP) who is assisting a client to return to bed
a nurse is creating a plan of care for a child who has acute lymphoid leukemia and
an absolute neutrophil count of 400/mm^3. which of the following interventions
should the nurse include in the plan? - withhold administering the varicella vaccine
to the child - it is a live vaccine and should not be given
a nurse is providing teaching about improving nutrition for a client who has
multiple sclerosis. which of the following instructions should the nurse include?
select all - A speech pathologist will be performing a swallowing study for you
you should rest before eating meal
thicken your beverage before drinking
a nurse is assessing a client who has schizophrenia and is taking chlorpromazine.
which of the following findings is the priority for the nurse to report to the
provider? - temperature 39.4 (102.9)
a client is receiving lorazepam IV for panic attacks and develops a respiratory rate
of 6/min and a blood pressure of 90/44 mm Hg. Which of the following
medications should the nurse anticipate administering? - flumazenil
a nurse is caring for an older adult client in the PACU following general
anesthesia. which of the following findings should the nurse report to the provider?
- audible stridor
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