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ATI RN capstone proctored comprehensive assessment 2019 B Test Questions and Answers |100% Verified Answers LATEST UPDATE 2023 / 2024 A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions isthe priority? A. $18.99
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ATI RN capstone proctored comprehensive assessment 2019 B Test Questions and Answers |100% Verified Answers LATEST UPDATE 2023 / 2024 A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions isthe priority? A.

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ATI RN capstone proctored comprehensive assessment 2019 B Test Questions and Answers |100% Verified Answers LATEST UPDATE 2023 / 2024 A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions isthe priority? A.Assess fluid intake every 24 hours B...

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  • October 21, 2023
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ATI RN capstone proctored
comprehensive assessment 2019 B Test
Questions and Answers |100% Verified
Answers LATEST UPDATE
A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of
the following actions is the priority?


A. Assess fluid intake every 24 hours

B. Ambulate three times a day

C. Assist with deep breathing and coughing

D. Monitor the incision site for findings

of infection C

The priority action the nurse should take when using the airway, breathing,
circulation approach to client care is to assist the client with deep breathing and
coughing, which reduces the risk for postoperative pneumonia.

A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use
of a defense mechanism?


A. I have experienced physical discomfort when intimate with my partner since

my diagnosis
B. I wish other women would stop socializing with my partner

,C. I told my doctor that I would like to start a support group for other

women who are sick in my community
D. I used to mistrust my doctor, but now I know that she is the best one to care

for me during my illness C

This statement indicates that the client is using the constructive defense
mechanism sublimation by devising a socially acceptable alternative to facing a
reality that she does not wish to accept.

A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take?


A. Assess the clients IV site every 8 hours

B. Check the clients WBC count every 48 hours

C. Monitor the clients mouth every 8 hours

D. Change the clients IV tubing

every 48 hours C
A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD).
Which of the following areas should the nurse assess for manifestations of HD?


A. Eyes area

B. Chest area

C. Lower abdominal area

,C


Hirschsprung disease is a condition that affects the large intestine (colon) and
causes problems with passing stool. This is present at birth (congenital) as a
result of missing nerve cells in the muscle of the baby's colon

A nurse at a mental health clinic is caring for four clients. The nurse should
recognize that which of the following clients is using dissociation as a defense
mechanism?


A. A client forgets to buy their partner a birthday gift after a disagreement

B. A client who was abused as a child describes the abuse as if it happened to

someone else.
C. A client who is shorter than average is verbally assertive with coworkers

D. A client states that they did not get a job promotion because the

boss did not like them B

A nurse working in an emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first?


A. An older adult client who reports constipation of 4 days

B. A preschooler who has a skin rash

C. An adolescent who has a closed fracture

D. A nurse working in an emergency department is triaging four clients. Which

of the following clients should the nurse recommend for treatment first?

D

, A nurse is providing teaching for a client who has a fracture of the right
fibula with a short leg cast in place and a new prescription for crutches. The
client is non-weight-bearing for 6 weeks. Which of the following instructions
should the nurse include in the teaching?


A. Adjust the crutches for comfort as needed

B. Use a three-point gait.

C. Wear leather soled shoes

D. Advance the affected leg first when

walking upstairs B
A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client?

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