ATI PN Fundamentals (B) Exam

A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence? a. a client who plans to leave the facility against medical advice b. a client who informs the nurse that he has made his funeral arrangements c. a client who tells the nurse that the night shift nurse did not bring his medication d. a client who has just experienced the death of his child - d. a client who has just experienced the death of his child -Silence is a therapeutic communication technique to use when a client is grieving. It demonstrates caring and patients and allows the client to speak when he or she is ready to do so A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take? a. clean the perineal area at least once a day b. empty the drainage bag when it is three-fourths full c. flush the catheter with sterile water daily d. disconnect the drainage bag when emptying and measuring urine - a. clean the perineal area at least once a day -The nurse should clean the perineal area at least once a day to reduce the risk for infection A nurse is caring for a client who is receiving chemotherapy and has stomatitis. Which of the following actions should the nurse take to reduce the client's discomfort? a. offer the client lemon-glycerin swabs b. encourage the client to drink hot tea c. use 0.9% sodium chloride solution to rinse the client's mouth d. provide a commercial mouthwash for the client's oral care - c. use 0.9% sodium chloride solution to rinse the client's mouth -The nurse should use 0.9% sodium chloride solution for the client's oral care in the morning, after each meal, and at bedtime to cleanse the client's oral cavity. A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed? a. "Keep your feet close together." b. "Tighten your stomach muscles." c. "Straighten your knees." d. "Bend at your waist." - b. "Tighten your stomach muscles." -The nurse should instruct the client's partner to keep his knees bent to maintain his center of gravity. A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy? a. eggs b. latex c. seafood d. bee stings - b. latex -Nurses use products containing latex, including gloves, tourniquets, and IV tubing, to deliver IV therapy. Clients who have an allergic reaction to latex can have a wide range of manifestations, such as itching and hives, or a more serious reaction, such as dyspnea or laryngospasm.