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ATI Basic Care & Comfort 1 questions with correct answers
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ATI Basic Care & Comfort 1 questions with correct answers
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ATI Basic Care & Comfort 1 questions with correctanswers
A nurse is talking with a client who is about to start using transcutaneous
electrical nerve stimulation (TENS) to manage chronic pain. Which of
the following statements should the nurse identify as an indication that
the client needs further teaching?
a. I wish I didn't have to attach the electrodes to my skin
b. It's unfortunate that I have to be in the hospital for this treatment
c. I'll need to shave the hair off the skin where I place the electrodes
d. I hope I don't have to take as many pain pills Correct Answer-b. It's
unfortunate that I have to be in the hospital for this treatment
TENS are portable; do have to be attached to skin/hair should be
removed/reasonable to expect less pharmacological intervention
A nurse is caring for a client who requests prescription pain medication.
Which of the following actions should the nurse perform first?
a. Reposition the client
b. Administer the medication
c. Determine the location of the pain
d. Review the effects of the pain medication Correct Answer-c.
Determine location
,A nurse is applying a cold compress for a client who has pain and minor
swelling in a sutured laceration in the forearm. Which of the following
assessments should the nurse use to determine whether the treatment is
effective?
a. Inspect site for reduced swelling
b. Monitor client's pulse rate
c. Ask client to rate pain
d. Have client perform ROM of affected arm Correct Answer-c. Ask
client to rate pain
A nurse provides a back massage as a palliative care measure to a client
who is unconscious, grimacing, and restless. Which of the following
findings should the nurse identify as indicating a therapeutic response?
(select all that apply)
a. Shoulders droop
b. Facial muscles relax
c. Respiratory rate increases
d. Pulse is within expected range
e. Client draws legs into fetal position Correct Answer-a, b, d
A nurse is caring for a toddler who is having difficulty sleeping during
hospitalization Which of the following actions should the nurse take to
promote sleep?
, a. Explain source of fears
b. Turn off light
c. Provide bedtime rituals
d. Encourage play exercises in the evening Correct Answer-c. Provide
bedtime rituals
Familiarity will decrease insecurity and fears; reasoning is still too
immature for comprehension/child may need a night light to decrease
fear/stimulating physical activity should occur during the daytime
A nurse is caring for a client who has impaired mobility. Which of the
following support devices should the nurse plan to use to prevent the
client from developing plantar flexion contractures?
a. Trochanter roll
b. Sheepskin heel pad
c. Abduction pillow
d. Footboard Correct Answer-d. Footboard
Footboard keeps feet from dropping (contracture); trochanter roll used to
keep hips in neutral position and prevent external rotation/heel pads
prevent development of ulcers on heels/abduction pillow keeps hips
abducted to prevent dislocation after arthroplasty
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