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Video Case Studies ATI
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Video Case Studies ATI Video Case Studies ATI Video Case Studies ATI
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Video Case Studies ATIA nurse is planning care for a client who is having difficulty swallowing food at mealtime. Which of
the following interverntions should the nurse include in plan of care? - ANS Provide oral hygiene
stimulates and eases swallowing of food, which decreases risk of aspiration
A nurse caring for a client who has Crohn's disease and is on a low residue diet. Which of the
following foods should the nurse provide the client as a snack? - ANS 1 cup of pasta
low in fiber and easy to digest : 1.9 g fiber
A nurse is promoting independence at mealtime for a client with visual impairment. Which of the
following interventions should the nurse implement? - ANS reference to the face of a clock to
indicate where the food is placed
orienting client to position of food on plate by referencing numbers on the face of a clock
A nurse is caring for a client who has been placed on a full liquid diet. Which of the following foods
should the nurse offer the client? - ANS cream of chicken soup
clear liquid with a smooth textured dairy product added. Full liquid foods are foods that are in a
liquid state at body temp; ice cream, pudding, yogurt
A nurse assisting a client who is at risk for aspiration following a stroke with eating. Which of the
following actions should the nurse take? - ANS palpate the client's throat while swallowing food
eval the swallowing effort; pocketing food indicates impaired swallowing and places the client at risk
for aspiration
A nurse is caring for a client who has chronic kidney disease and tells the nurse that he no longer
wants to continue hemodialysis. Which of the following responses should the nurse make? - ANS "I
will contact your provider so you can talk with her about your decision"
,respect client's right to discontinue tx; by contacting provider nurse relays to client that she is willing
to assist him with making an informed tx decision
A nurse is caring for a client who does not speak the same language as the nurse. The client is
scheduled for a diagnostic procedure later in the day. Which of the following actions should the
nurse? - ANS obtain an interpreter to explain the procedure to the client
interpreter can explain the procedure to the client and ensure the client understands what will be
done
A nurse manager is providing information about advocacy to a group of staff nurses. Which of the
following statements by a staff nurse indicates understanding of teaching? - ANS "To advocate for
my client I may need to speak with the provider on his behalf"
often the responsibility of nurse to advocate for client by directly intervening on client's behalf;
client may need to speak to the family or the provider, especially if client is unable to advocate for
himself
A newly licensed nurse is caring for a client who requires a colostomy irrigation to stimulate
peristalsis. The nurse has not performed an irrigation before and does not feel comfortable with the
procedure. Which of the following actions should the nurse take? - ANS ask an experienced nurse to
assist her with performing irrigation
nurse should seek the assistance of an experienced nurse who can provide her with the proper
supervision; in this way, the client receives competent care and the nurse is able to increase her skill
level, competence and confidence with the new skill; nurse should respect the client's right to have
the skill performed competently, which demonstrates client advocacy
A nurse is caring for a client who has a malignancy in her left breast. The client tells the nurse that
even though her daughter wants her to have both breasts removed, she only wants to remove the
left breast at this time. Which of the following responses should the nurse make? - ANS "Would you
like for me to help you discuss your decision with your daughter?"
nurse should respect the client's treatment decision and respond by supporting the client; by
offering herself to the client to assist her in speaking with her daughter, the nurse indicates
acceptance of the client's decision without attaching conditions
, A nurse is preparing to obtain informed consent for a child who fell and broke her arm. Since the
child's parents are not present and cannot be reached, which of the following individuals should the
nurse identify as able to provide consent for the child? - ANS grandparents
identify that the grandparent of a minor grandchild can give legal consent for an emergency
treatment if the child's parents are not present
A nurse is teaching a client about advance directives. Which of the following statements by the client
indicates an understanding of the teaching? - ANS "my living will addresses whether or not I want to
receive CPR"
a living will addresses whether or not the client wishes to receive CPR; nurse should also inform the
client that a living will also addresses other issues, such as the use of antibiotics and nutrition
A nurse is preparing a client who is scheduled for a laparoscopic cholecystectomy. The client states,
"I have changed my mind. I don't want to have the surgery." Which of the following responses
should the nurse give? - ANS "I will let your provider know about your decision"
respect the client's decision that she has changed her mind and notify the provider; it is the client's
right to change her mind at any time about treatment of any kind
A nurse is preparing to administer ciprofloxacin to a client when the client tells the nurse he is not
going to take it. Which of the following responses should the nurse make? - ANS "This is the
antibiotic your provider prescribed to treat your infection"
responsibility to honor the client's wishes; however, it is an expectation that the nurse will try to
promote adherence to the treatment plan; providing information to the client about the medication
will help him to make a more informed decision
A nurse is assisting with obtaining informed consent for a client who will undergo surgery in the
morning. Which of the following actions should the nurse take? - ANS Witness the client voluntarily
signing the consent form
nurse should witness the client sign the consent form to verify that the client is signing the form
voluntarily
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