Exam (elaborations)
Fundamentals ATI Renal Final Exam – Q&A
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Fundamentals ATI Renal Final Exam – Q&A
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Fundamentals ATI Renal Final Exam – Q&AA nurse is caring for a client who has a new diagnosis of chronic kidney
disease. Which if the following statements should the nurse identify as an
indication of anticipatory grieving? ✔️Ans - "I just can't believe that
this dialysis is going to ruin my whole life."
A nurse is caring for a client who has a stage 1 pressure ulcer. Which of the
following dressings should the nurse plan to apply? ✔️Ans -
Transparent dressing
A nurse is developing a plan of care for a client who is postoperative. Which
of the following interventions should the nurse include in the plan to
prevent pulmonary complications? ✔️Ans - Encourage the use of
incentive spirometer
A nurse is preparing to administer a soap duds enema to a client who has
constipation. As the nurse explains the procedure, the client states, "The
doctor didn't tell me I was supposed to receive an enema." Which of the
following nursing action is appropriate at this time? ✔️Ans - Check
the client's medical record for the provider's prescription
A nurse is caring for a client who has metastatic bone cancer. The client
states, "I want to go home to die." The family is concerned about meeting
the client's care needs at home. Which of the following actions should the
nurse take? ✔️Ans - Discuss imitating hospice care with the client in a
nursing home
A nurse is providing reaching to an assistive personnel (AP) about caring
for clients with restraints. Which of the following statements by the AP
indicates an understanding of the teaching? ✔️Ans - "I will tie a
restraint to the portion of the bed that moves when the head of the bed is
moved"
A nurse working in an emergency room is assessing a client who has a leg
wound. The nurse notes a full thickness wound with jagged edges and
muscle tissue visible. The nurse should document this as which of the
following types of the wounds? ✔️Ans - Laceration
, A 70 year old clients admitted to the PACU with an intravenous (IV)
solution of 0.9% NaCl which is running a 125 cc/hour. The nurse detects
new onset of crackles in the lung bases and distended neck veins. What is
the nurse's priority action? ✔️Ans - Decrease the IV flow rate
A nurse is assessing a client's wound dressing, and observes a watery red
drainage. The nurse should document this drainage as which of the
following? ✔️Ans - Serosanguineous
A nurse is preparing to administer morphine sulfate 2 mg IV bolus.
Available is morphine sulfate 10 mg/mL. How many mL should the nurse
administer per dose? (round to answer to the nearest tenth) ✔️Ans -
0.2 mL
A nurse is caring for a client who has been diagnosed with end-stage liver
cancer. Which of the following responses is indication the client is in the
denial phase of the grief process? ✔️Ans - "The doctor says I only have
a few moments to live, but I know he is exaggerating to get me to take my
medication."
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) ✔️Ans - The shoulders droop
The facial muscles relax
The pulse is within the expected range
A nurse caring for a client who has an infected wound removes a dressing
saturated with blood and purulent drainage. How should the nurse dispose
of the dressing material? ✔️Ans - Dispose of the dressing in a
biohazardous waste container.
A client who is scheduled for a barium swallow asks the nurse why a
laxative is necessary following the procedure. Which of the following
responses should the nurse make? ✔️Ans - "The laxative helps
eliminate the barium."
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