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A nurse is caring for four clients. Which of the following client statements should the nurse attend to first? - ANSWER -"My heartburn pain is going into my jaw now." A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take? - ANSWER -Perform oral care every 2 hr. A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following laboratory values should the nurse check prior to administering the medication? - ANSWER -- PT - INR A nurse is collecting data from a client who is at 9 weeks of gestation and has hyperemesis gravidarum. Which of the followin g findings should the nurse expect? - ANSWER -Weight loss A nurse is reinforcing teaching with a client about the importance of a low sodium diet. Which of the following foods should the nurse recommend as the best choice to include in a low sodium diet? - ANSWER -2 tbsp of peanut butter A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the following findings should the nurse report to the provider? ATI PN Comprehensive Predictor Questions and 100% Correct Answers - ANSWER -The toddler can say four words. A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client might be experiencing diabetic ketoacidosis? - ANSWER -Kussmaul respirations A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER -"I need to record my pulse rate daily." A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member. Which of the following actions should the nurse take? - ANSWER - Document in the clients medical record every 15 min. A nurse is reinforcing teaching about self-administration of nasal drops with a client. Which of the following positions should the nurse recommend for instillation of the drops? - ANSWER -Supine A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following laboratory results should the nurse review prior to administering the medication? - ANSWER -Potassium A nurse is caring for a client who has methicillin -resistant staphylococcus aureus (MRSA) infection. Which of the following actions should the nurse plan to take? - ANSWER -Don a gown and gloves when providing perineal care A nurse is assisting with the plan of care for a client who has dementia and often wanders in the halls at night. Which of the following interventions should the nurse recommend including in the plan of care? - ANSWER -Labeling the clients bathroom door A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope of practice. Which of the following responsibilities should the nurse include in the teaching? - ANSWER -Providing direct clien t care A nurse is working on a mental health unit is meeting with a client who has been in the unit for 2 days. The nurse greets the client and asks, "What has been happening with you today?" Which of the following therapeutic techniques is the nurse using? - ANSWER -Reflecting A nurse us reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by a parent indicates an understanding of the teaching? - ANSWER -"I will secure the seat belt across my newborns lap."
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