TI RN Comprehensive Online Practice 2019 B with NGN / RN ATI Capstone Proctored Comprehensive Assessment 2019 B/ ATI Comprehensive 2019 B QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

TI RN Comprehensive Online Practice 2019 B with NGN / RN ATI Capstone Proctored Comprehensive Assessment 2019 B/ ATI Comprehensive 2019 B QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ An antepartum nurse is caring for four clients. For which of the following clients should the nurse initiate seizure precautions? A client who is at 33 weeks of gestation and has severe gestational hypertension A client who is at 16 weeks of gestation and has a hydatidiform mole A client who is at 28 weeks of gestation and is experiencing vaginal bleeding A client who is at 36 weeks of gestation and has a positive group B streptococcal culture - CORRECT ANSWER-A client who is at 33 weeks of gestation and has severe gestational hypertension A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP? Hypoxemia Tension pneumothorax Malignant hypertension Atelectasis - CORRECT ANSWER-Tension pneumothorax The nurse should identify that tension pneumothorax is a possible adverse effect of PEEP. The nurse should monitor the client's lung sounds hourly for indications of a tension pneumothorax, such as tracheal deviation, absent breath sounds, and distended neck veins. A nurse is providing information to a client immediately before his scheduled Romberg test. Which of the following statements should the nurse make? "You will be standing with your feet 1 foot apart." "You will place and hold your hands on your hips." "I will be standing across the room from you to evaluate your sense of balance." "I will be checking you once with your eyes open and once with them closed." - CORRECT ANSWER-"I will be checking you once with your eyes open and once with them closed." The nurse should inform the client that the Romberg test will be performed once with eyes open and once with eyes closed. A Romberg test is performed to assess balance and motor function. A nurse is caring for a client who is postoperative following administration of general anesthesia. - CORRECT ANSWER-Upon recognizing and analyzing the client cues of tachycardia, tachypnea, hypotension, and irregular heart rhythm, the nurse's priority hypothesis should be that this client is most likely experiencing malignant hyperthermia and that it is important to generate solutions and take actions that will correct dysrhythmias, provide oxygen to tissues, correct electrolyte imbalances, and reverse metabolic and respiratory acidosis. Therefore, the nurse should prepare to administer dantrolene and administer oxygen. The nurse should monitor the PCO2 level on the client's ABGs for hypercapnia and observe the client for muscle rigidity of the jaw and chest muscles. A nurse is caring for a client who has a fecal impaction. Which of the following actions should the nurse take when digitally evacuating the stool? Place the client in the lithotomy position. Elicit a vagal response by performing gentle rectal stimulation. Administer oral bisacodyl 30 min prior to the procedure. Insert a lubricated gloved finger and advance along the rectal wall. - CORRECT ANSWER-Insert a lubricated gloved finger and advance along the rectal wall