a nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first? - comfort level
a charge nurse is monitoring the documentation of the medication by a Newley licensed nurse. The charge nurse should intervene if the Newley lic...
ATI Pediatrics Proctored Exam 6 2024
a nurse is caring for a client who has restraints to each extremity. Which of the following
assessments should the nurse perform first? - comfort level
a charge nurse is monitoring the documentation of the medication by a Newley licensed nurse.
The charge nurse should intervene if the Newley licensed nurse uses which of the following - SS
for sliding scale or MS for magnesium sulfate
a nurse is caring for a client who has TB. Which of the following precautions should the nurse
plan to implement ? - Airborne (N95)
A nurse is reaching a client and his family how to care for the client's tracheostomy at home.
Which of the following should the nurse include in the teaching? - Use tracheostomy covers
when outdoors
A home health nurse is performing a follow-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 diarrhea? - The client's care giver washed out the
feeding bag once every 24 hours with warm
water
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?
- The client uses no acetone nail polish remover.
Nurse caring for a client who has a respiratory infection. What technique should she use when
preforming nasotracheal suctioning? - Apply intermittent suction when withdrawing the
catheter.
The pt has a stage 2 pressure injury. what kind of dressing do you apply? - Hydrocolloid
Client has terminal illness and is at the end of life. Which one of the following statements by the
client's partner indicates effective coping?
A. I am not worried because I still have hope that he will be okay
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 - I am relying on
support from our family at this time
A nurse is assessing an older adult client for fall risk. Which of the following should the nurse
use to identify the clients safety needs - pupil clarity
visual fields
visual activity
, correct use of cane - the client holds the cane on the stronger side of her body
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell
transplant. Which of the following precautions should the nurse plan for this client? - make sure
the client wears a mask outside of her room if there is construction in the area
client uses a walker correct understanding - I will hire someone to trim the tree that hangs over
the steps
Enoxaparin - administer at 45 degree angle
if it says subq then administer at a - 90 or 45 degree angle that is the correct answer
teaching documentation to new nurses - use the entire name for magnesium sulfate
advocacy ensures - clients health safety and rights
pt is seizing on the floor - first assess pts physical safety followed by the pts positioning
med reconciliation - compare home meds to meds given here
give heparin in - abdomen
given blood transplant client has allergic reaction as evidenced by - itching
BUN levels - 10-20
Creatanine - 0.6-1.2
Sodium levels - 135-145
Potassium - 3.5-5.0
trach care at home - use covers outdoors
large wound with drainage precautions - contact precautions
to prevent injury - stand close to object when moving it
client fell and is laying on bathroom floor first to what - check for injuries
with compression sleeves - makes sure two fingers can fit in the sleeve
with religious stuff - nurse should examine their own beliefs abt situation
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