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ATI Fundamentals Proctored Exam Questions and Answers with Rationales LATEST 2024 A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teach$28.49
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ATI Fundamentals Proctored Exam Questions and Answers with Rationales LATEST 2024 A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teach
ATI Fundamentals Proctored Exam Questions
and Answers with Rationales LATEST 2024
A nurse is teaching a client and his family how to care for the client's tracheostomy at
home. Which of the following instructions should the nurse include in the teaching?
A. Remove the outer cannula cautiously...
ATI Fundamentals Proctored Exam Question s and Answe rs with Rationales LATEST 202 4 A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching? A. Remove the outer cannula cautiously for routine cleaning. B. Use tracheostomy covers when outdoors. C. Use sterile technique when performing tracheostomy care at home. D. Cleanse irritated skin with full -strength hydrogen peroxide. - B. Use tracheostomy covers when outdoors. A home health nurse is performing a f ollow -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 diarrh ea? A. The client is receiving formula at room temperature. B. The feedings infuse at a slow, continuous drip over 8 hr each night. C. The client's caregiver washes out the feeding bag with warm water once every 24 hr. D. The client's caregiver flushes th e tubing with water before and after administering medications. - C. The client's caregiver washes out the feeding bag with warm water once every 24 hr. A nurse is talking with an older adult client who is contemplating retirement. The client states, "I k eep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? A. "You would have so much more time to spend with your family." B. "You should consider getting a part -time job or doing v olunteer work." C. "Let's talk about how the change in your job status will affect you." D. "Why wouldn't you want to retire and relax?" - C. "Let's talk about how the change in your job status will affect you." A nurse is assessing a client who reports i ncreased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain? A. "Is your pain constant or intermittent?" B. "What would you rate your pain on a scale of 0 to 10?" C. "Does the pain radiate?" D. "Is your pain sharp or dull?" - D. "Is your pain sharp or dull?" 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? A. Discuss the risk factors for colon cancer. B. Focus teaching on what the client will need to do in the future to manage his illness. C. Provide the client with written information about the phases of loss and grief. D. Reassure the client that this is a n expected response to grief. - D. Reassure the client that this is an expected response to grief. 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 t ake? A. Pad the client's wrist before applying the restraints. B. Evaluate the client's circulation every 8 hr after application. C. Remove the restraints every 4 hr to evaluate the client's status. D. Secure the restraint ties to the bed's side rails. - A. Pad the client's wrist before applying the restraints. A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? A. The cl ient 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 clien t identifies the location of a fire extinguisher. A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client? A. Insert the suction cathete r while the client is swallowing. B. Apply intermittent suction when withdrawing the catheter. C. Place the catheter in a location that is clean and dry for later use. D. Hold the suction catheter with her clean, nondominant hand. - B. Apply intermittent suction when withdrawing the catheter. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take? A. Administer the medication with the needle at a 45° angle. B. Administer the medication into the client's nondominant arm. C. Pull the client's skin laterally or downward prior to administration. D. Massage the injection site after administration. - A. Administer the medication with the needle at a 45° angle.
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