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TEST BANK ATI PN Comprehensive Predictor Exam Review A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to enter data for her because the AP has forgotten her password and needs to leave. Which of the following actions should the nurse take? (ANS - Tell the AP to contact the IT department for charting assistance. A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse should instruct the parents to place the car seat in a.... (ANS - Rear -facing position in the back seat. A nurse is preparing a client for surgery. The client tel ls the nurse that he is concerned about the safety of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to take? (ANS - contact security personnel to place the money in the facility safe. A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative following a tonsillectomy. Which of the following findings is a sign on hemorrhage? (ANS - Frequent Swallowing A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include? (ANS - Instruct the client to bear down during rectal tube insertion. A nurse is caring for a client. Which of the following client statements should the nurse attend first? (ANS - "My heartburn pain is going into my jaw now" A nurse is caring for a client who is 3 days postoperative following abdominal surgery and has a Penrose drain. Which of the following actions should the nurse take? (ANS - Leave the drain insertion site open to air A nurse is reinforcing with a client who is about to undergo an upper gastrointestinal series with fluoroscopy. Which of the following information should th e nurse provide? (ANS - "You will have to drink a contrast medium before the test." A nurse is reviewing the medical record of a client who has sustained a full - thickness burn and is in the emergent phase of burn. Which of the following findings should the nurse expect? (ANS - Hypernatremia A nurse is planing to administer an ophthalmic medication to a client. Which of the following actions would minimize systemic absorption of the medication? (ANS - Wait 5 mins after instillation before instilling the drops in the other eye A nurse is preparing morning medication for a client who has potassium level of 3.2 mEq/L. For which of the following medications should the nurse withhold administration and notify the provider? (ANS - Furosemide A nurse is collecting data from a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following findings should the nurse report to the provider? (ANS - Facial flushing A nurse in a provider'a office is collecting data from a client who was discharged from the hospital 7 days ago following treatment from deep -vein thrombosis. Which of the following findings is the nurse's priority? (ANS - The client takes ibuprofen to treat musculosketal pain. A nurse in an urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia? (ANS - Muscle weakness A nurse is participating in a performance improvement process to decr ease the rate of health care -associated infections within the facility. The nurse should recognize that which of the following is an appropriate performance improvement outcome indicator? (ANS - Client data indicates a decreased rate of infection A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right femoropopliteal bypass graft. Which of the following findings in the assessment of the clients's right leg should be of the most concern to the nurse? (ANS - The client's foot feels cooler than the previous assessment
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