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ATI FUNDAMENTALS PROCTORED EXAM TEST BANK
LATEST UPDATED
While a nurse is administering a cleansing enema, the client reports
abdominal cramping. Which of the following is the appropriate
intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - ANS D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs.
Which of the following problems is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
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C. Pressure ulcer
D. Fecal impaction - ANS C
Unrelieved pressure over a bony prominence for too long increases the
risk of a pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the following
interventions should the nurse implement to maintain the patency of
the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - ANS D. it helps keep airways
open and prevent atelectasis
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A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following
nursing interventions reduce the risk of thrombus development? Select
all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - ANS B, E
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A nurse is instructing a postop client about the sequential compression
device the provider has prescribed. Which of the following statements
should indicate to the nurse that the client understands the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
D. "This device is going to keep my joints in good shape." - ANS B.
sequential pressure devices promote venous return in the deep veins of
the legs & thus help prevent thrombus formation
To promote the safe use of a cane for a client who is recovering from a
minor musculoskeletal injury of the left lower extremity, which of the
following instructions should the nurse provide? Select all.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
ENHANCED BY AI..!!
ATI FUNDAMENTALS PROCTORED EXAM TEST BANK
LATEST UPDATED
While a nurse is administering a cleansing enema, the client reports
abdominal cramping. Which of the following is the appropriate
intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - ANS D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs.
Which of the following problems is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
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, ENHANCED BY AI..!!
C. Pressure ulcer
D. Fecal impaction - ANS C
Unrelieved pressure over a bony prominence for too long increases the
risk of a pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the following
interventions should the nurse implement to maintain the patency of
the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - ANS D. it helps keep airways
open and prevent atelectasis
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, ENHANCED BY AI..!!
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following
nursing interventions reduce the risk of thrombus development? Select
all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - ANS B, E
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, ENHANCED BY AI..!!
A nurse is instructing a postop client about the sequential compression
device the provider has prescribed. Which of the following statements
should indicate to the nurse that the client understands the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
D. "This device is going to keep my joints in good shape." - ANS B.
sequential pressure devices promote venous return in the deep veins of
the legs & thus help prevent thrombus formation
To promote the safe use of a cane for a client who is recovering from a
minor musculoskeletal injury of the left lower extremity, which of the
following instructions should the nurse provide? Select all.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
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