ATI RN Fundamentals Online Practice 2019 A with NGN with complete verified solutions A nurse is admitting a client who has an abdominal wound with a large amount of purple tissue drainage. Which of the following types of transmission precautions should the nurse initiate? Protective environment Airborne precautions Droplet precautions Contact precautions - answer Contact precautions A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? -Discuss the risk factors for colon cancer. -Focus teaching on what the client will need to do in the future to manage his illness. -Provide the client with written information about the phases of loss & grief. -Reassure the client that this is an expected response to grief. - answer -Reassure the client that this is an expected response to grief. A nurse is caring for a client who is postoperative following a knee arthroplasty & requires the use of thigh -length sequential compression sleeves. Which of the following actions should the nurse take? -Assist the client into a prone position -Place a sleeve over the top of each leg with the opening at the knee -Make sure two finger can fit under the sleeves -Set ankle pressure at 65 mmHg - answer -Make sure two finger can fit under the sleeves A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressings should the nurse use? Alienate Gauze Transparent Hydrocolloid - answer Hydrocolloid A nurse is preparing an education program for the staff about advocacy. Which of the following information should the nurse include? -Advocacy ensures clients' safety, health, & rights. -Advocacy series that nurses are able to explain their own actions. -Advocacy ensures that nurses follow through on their promises to clients. -Advocacy ensures fairness in client care delivery and use of resources. - answer Advocacy ensures clients' safety, health, & rights. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? -Verify the client's name on their identification bracelet with the medication administration record -Call the pharmacy to determine whether the client's medications are available -Compare the clients home medications with the provider's prescriptions -Place the client's home medication bottles in a secure location - answer Compare the clients home medications with the provider's prescriptions A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety need? (Select all that apply) -Lacrimal apparatus -Pupil clarity -Appearance of bulbar conjunctivae -Visual fields -Visual acuity - answer Pupil clarity Visual fields Visual acuity A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? -"I can place an extension cord across my living room to plug in my television." -"I will hire someone to trim the tree that hangs low over the stairs of my front porch." -"I will place my alarm clock on my bedroom dresser across the room." -"I will replace the old throw rug in my kitchen with a new one." - answer -"I will hire someone to trim the tree that hangs low over the stairs of my front porch." A nurse is reviewing a client's fluid & electrolyte status. Which of the following findings should the nurse report to the provider? BUN 15 mg/dL Creatinine 0.8 mg/dL Sodium 143 mEq/L Potassium 5.4 mEq/L - answer Potassium 5.4 mEq/L
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