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ATI RN Fundamentals Practice B()with complete updated solution A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record what? A. "I am having 17,70 €
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ATI RN Fundamentals Practice B()with complete updated solution A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record what? A. "I am having
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NR 545 1 Study The E
ATI RN Fundamentals Practice B(2023-
2024)with complete updated solution
A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record what?
A. "I am having mild pain."
B. "The pain is like a dull ache i...
ATI RN Fundamentals Practice B (2023 -
2024 )with complete updated solution A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record what? A. "I am having mild pain." B. "The pain is like a dull ache in my stomach." C. "I notice it get worse after i eat." D. "The pain makes me nauseous" - answerB. "The pain is like a dull ache in my stomach." A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse confirms the presence of the f ire, which of the following actions should the nurse take next? A. Activate the emergency fire alarm. B. Extinguish the fire. C. Evacuate the client. D. Confine the fire. - answerC. Evacuate the client. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. What assessment finding should the nurse expect?A. Neck vein distentionB. Urine specific gravity 1.010C. Rapid heart rateD. Blood pressure 144/82 mmHg - answerC. Rapid heart rate A nurse has ac cepted a verbal prescription for "three tenths of a milligram of levothyroxine IV stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record? - answer0.3 mg A nurse is preparing a heparin infusion for a client who was hospitalized with DVT. The order reads 25,000 unit of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? (Round to nearest whole number) - answer8 ml/hr A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?A. Wear sterile gloves when removing the old dressing.B. Warm the irrigation solution to 40.5 CC. Cleanse the wound fro m the center outward.D. Use a 20 mL syringe to irrigate the wound. - answerC. Cleanse the wound from the center outward. A nurse is caring for a client receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as an indication of infiltration? ATI RN Fundamentals Practice B (2023 -
2024 )with complete updated solution A. Purulent exudate B. Warmth C. Skin blanching D. Bleeding - answerC. Skin blanching A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements sh ould the nurse identify as an indication that the client understands the teaching?A. "When descending stairs, I will first shift my weight to my right leg."B. "I should place my crutches 12 inches in front and to the side of each foot."C. "As I sit down, I will hold one crutch in each hand."D. "I will make sure the shoulder rests are snug against my armpits." - answerA. "When descending stairs, I will first shift my weight to my right leg." A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first?A. Rinse the feeding bag with water between feedingsB. Tell the client to keep the head of the bed elevated at least 30ºC. Make sure the enteral formu la is at room temperatureD. Wipe the top of the formula can with alcohol - answerB. Tell the client to keep the head of the bed elevated at least 30º A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day." Which of the following components of the prescription should the nurse verify with the provider?A. The medicationB. The routeC. The doseD. The frequenc y - answerC. The dose A nurse is caring for a client who has recently started using a behind -the-ear hearing aid. Which of the following statements should the nurse identify as an indication that she understands the use of this assistive device?A. "This t ype of hearing aid does not allow for fine tuning of volume."B. "I shouldn't have trouble keeping the hearing aid in place during exercise."C. "I expect to hear a whistling sound when I first insert the hearing aid."D. "I will be sure to remove my hearing aid before taking a shower." - answerD. "I will be sure to remove my hearing aid before taking a shower." A nurse enters a client's room and finds her on the floor. The client's roommate reports that the client was trying to get out of bed and fell over t he bedrail onto the floor. Which of the following statements should the nurse document about this incident?A. "Incident report completed."B. "Client climbed over the bedrails."C. "Client found lying on floor."D. "Client was trying to get out of bed." - answerC. "Client found lying on floor." A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process?A. Seal unused hospital
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