Exam (elaborations) RN ATI CAPSTONE COMPREHENSIVE ASSESSMENT 204 Capstone Coach for Nursing Excellence
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Course
RN ATI CAPSTONE COMPREHENSIVE ASSESSMENT 204
Institution
RN ATI CAPSTONE COMPREHENSIVE ASSESSMENT 204
Exam (elaborations) RN ATI CAPSTONE COMPREHENSIVE ASSESSMENT 204 Capstone Coach for Nursing Excellence RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2024 FORM A AND B ACTUAL EXAM 50
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALESRN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESS...
RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2024 FORM A AND B ACTUAL EXAM 50
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES
The nurse is assisting a provider with the removal of a chest
tube. What actions should the nurse take?
a. Instruct the client to lie prone with arms by the sides
b. Complete a surgical checklist on the client
c. Remind the client that there is minimal discomfort during
the removal process
d. Place an occlusive dressing over the site once the tube is
removed
d. Place an occlusive dressing over the site once the tube is
removed
Observe the site for drainage.
The nurse is caring for a client who is scheduled for a
thoracentesis. Which of the following supplies should the
nurse ensure are in the client's room? SATA
a. Oxygen equipment
b. Incentive spirometer
c. Pulse oximeter
Latest volume A and B
,d. Sterile dressing
e. Suture removal kit
a, c, d
a. Oxygen equipment for SOB
b. Pulse ox to monitor ox sat during the procedure
d. Sterile dressing to apply to the puncture site
The nurse is assessing the client for Chvostek's. What actions
should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek
d. Tap lightly on the client's cheek
Tap over the facial nerve just below and anterior to the ear to
elicit Chvostek's sign.
A positive sign = Facial twitching on the side of the face
A nurse is assessing the client who reports nausea, vomiting,
and weakness. Which of the following findings are
manifestations of hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching
Latest volume A and B
, a, c, e
Numbness and tingling in fingers and toes, abdominal cramps
and diarrhea, and muscle twitching are manifestations of
hypocalcemia.
Associated manifestation of Hypocalcemia
Positive Trousseau's sign
Respiratory Diagnostic Procedures: Planning Care for a Client
Who Is Scheduled for a Thoracentesis
Pre-procedure:
- Percussion, auscultation, radiography, or sonography is used to
locate the effusion and needle insertion site.
- Assist the older client to maintain still for the procedure
- Position the client sitting upright with arms and shoulders
raised and supported on pillows and/or an overbed table and
with feet and legs well-supported.
- Remain still, no coughing or talking
Intraprocedural:
- Aseptic technique
- Monitor VS, skin color, and ox sat
The amount of fluid removed is limited to 1L at a time to
prevent the re-expansion of pulmonary edema
Postprocedure:
- Apply dressing over the puncture site
Latest volume A and B
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