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ATI Fundamentals Exam NUR 325 Study Questions and Correct Answers $8.99
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ATI Fundamentals Exam NUR 325 Study Questions and Correct Answers
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  • Course
  • NUR 325
  • Institution
  • NUR 325

Patient is receiving tube feedings + medication through gastrostomy. Diarrhea has begun. When should the nurse intervene. Wash out feeding bag at each refilling throughout the day -replace every 24 hrs Impending death. Noisy respiration from secretions in airway. Nurse actions? Elevate the head of...

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  • September 3, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ati fundamentals exam nur 325 study questions and
  • patient is receiving tube feedings medication th
  • impending death noisy respiration from secretions

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  • NUR 325
  • NUR 325

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ATI Fundamentals Exam NUR 325 Study
Questions and Correct Answers
Patient is receiving tube feedings + medication through gastrostomy. Diarrhea has
begun. When should the nurse intervene. ✅Wash out feeding bag at each refilling
throughout the day -replace every 24 hrs

Impending death. Noisy respiration from secretions in airway. Nurse actions?
✅Elevate the head of the bed

Good source of complete protein ✅Cheddar cheese

Nurse administering enoxaparin SubQ to patient. Nurse actions? ✅administer
medication with needle at 45 degree angle.

Documentation ✅Descriptive, objective information

Fluid overload. First action? ✅Evaluate electrolytes

Home oxygen therapy education ✅-check cord routinely for frays or tearing
-consider purchasing a generator
-observe for signs of hypoxia

tracheostomy education ✅use tracheostomy covers when outdoors

Postoperative patient-SCDs in use. Nurse action? ✅make sure two fingers fit under
sleeves

Client reports no known allergies, but developed a rash after taking a certain antibiotic.
✅Document exact medication bc they may be allergic to it.

Patient discharging. Medication reconciliation process? ✅compare prescriptions with
medications the client received during hospitalization

Transferring (patient non weight baring on one leg) from bed to chair. How should you
secure a safe environment? ✅assess the client for orthostatic hypotension

Seizure ✅Wrap blankets around all 4 sides of the bed.

Sign of pressure ulcer? ✅albumin level of 3 g/dL (<3.5 indicates protein deficiency)

, Priority information for patient with pneumonia ✅Breath sounds

Sign that catheter requires irrigation? ✅Bladder scan shows 525 ml of urine

Respiratory infection. Technique used during nasotracheal suctioning? ✅apply
intermittent suction when withdrawing catheter

Postmortem care ✅1. obtain death pronouncement from provider
2. remove tubes and indwelling lines
3. cleanse the body
4. ask family if they'd like to view the body
5. place name tag on body before transfer

4 oz. water = 120 ml ✅document half of ice chip volume to account for air

Remove IV catheter if: ✅Swelling and coolness observed at site

Patient refusing blood transfusion due to religious beliefs. ✅examine personal values
about the issue

New wrist restraint prescription ✅Pad wrists before applying restraints

Abnormal lung sounds ✅-Crackles: discontinuous sounds heard primarily during
inhalation and resulting from air bubbling through fluid or mucus in airways
-Friction Rub: scratching/ squeaking persisting throughout resp. cycle
-Rhonchi: dry, low-pitched, snore-like noises produced in throat or bronchial tube due to
partial obstruction

Nasal cannula ✅No more than 6 L/min

IV insertion-how to prevent infection? ✅thread the IV catheter so that the hub rests at
the insertion site

Initiate discharge planning during ✅the admission process

Fluid volume deficit ✅causes tachycardia-corrected once HR is normalized

DNR ✅Oxygen can provide comfort and is not resuscitative when the nurse delivers it
via nasal cannula

Sodium at 125 mEq/L
(Hyponatremia) ✅abdominal cramping , weakness, headache, nausea

To auscultate pulmonary valve ✅second intercostal space at left sternal border

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