An assistive personnel (AP) and a nurse are turning a client onto the right side. Which of the following actions by the AP requires the nurse to intervene? - Places a pillow under the client's right arm
6-month-old infant diet - introduce new foods one at a time over 5 to 7 days
MRSA precauti...
ATI Comprehensive Online Practice A 202 3 An assistive personnel (AP) and a nurse are turning a client onto the right side. Which of the following actions by the AP requires the nurse to intervene? - Places a pillow under the client's right arm 6-month -old infant diet - introduce new foods one at a time over 5 to 7 days MRSA precautions - contact Boggy uterus with heavy lochia - massage the uterus to expel clots Car seat safety - secure the retainer clip at the level of your baby's armpits New colostomy - community based social worker, consult with home health, local support groups Falls occur from 0530 and 0730 - investigate environmental factors manifestation s of delirium - projecting blame priority to communicate to the oncoming nurse - needs assistance transferring from the bed to wheelchair Postpartum period assessment needs intervention - boggy uterus ED discharge with intimate partner violence - develo p safety plan A nurse is caring for a client who is at 28 weeks of gestation. The client asks the nurse to explain what causes her to have constipation. Which of the following responses should the nurse make? - the enlarged uterus compresses the intestine s and causes constipation A nurse is caring for a client who has a fractured femur and has had a fiberglass leg cylinder cast for 24 hr. Which of the following assessment findings should the nurse identify as the priority? - the client's heel is reddened and tender a nurse in an acute mental health facility is planning care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the client's plan of care? - supervise the client during and after eating a nur se is teaching a client about foods high in vitamin A. Which of the following foods should the nurse recommend as having the highest amount of vitamin A? - 1 medium raw carrot a nurse is teaching a newly admitted client who has heart failure about advance directives. Which of the following statements should the nurse make? - you should complete advance directives in the event you cannot express your own wishes A nurse is assessing a client who has been taking lithium carbonate for the past month to treat bipolar disorder. Which of the following assessment findings should the nurse identify as the priority? - confusion A case manager is reviewing the medical records of several clients. For which of the following clients should the nurse request an interpro fessional care conference? - a client who has diabetes mellitus and has had repeated hospitalizations for diabetic ketoacidosis A community health nurse is assisting with the development of a disaster management plan. The nurse should include which of the following nursing responsibilities in the disaster response stage of the plan? - performing a rapid needs assessment A nurse is teaching a client who has a new prescription for estradiol. For which of the following adverse effects of this medication should the nurse instruct the client to monitor and report to the provider? - headaches A charge nurse is observing a newl y licensed nurse performing a physical assessment on a client. Which of the following actions by the nurse indicates that the charge nurse should intervene? - the newly licensed nurse writes detailed notes while performing the head -to-toe assessment A nur se is assessing a client who has macular degeneration. Which of the following findings should the nurse expect? - decreased central vision
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