ATI Practice Assessment A Med Surg Exam Study Verified Answers A+ Guaranteed Solution|2024.

How do you ensure that medication reaches the inner ear? - correct answer Press gently on the tragus which requires an incident report? -putting restraints on a moveable part of the bed -putting a mask on a TB patient before transport -administer meds 30 min before -patient receives additional 250 ml of IV fluid - correct answer patient receives additional 250 ml of IV fluid If you have a patient who is angry with a dx, what do you do? - correct answer reassure them that this is an appropriate response towards their dx, and is grief When preparing to give meds through an enteral tube, what action should you take? - correct answer flush with 15 ml of sterile water How do you safely move an object? - correct answer stand close to the object, close to your center of gravity which decreases back strain what statement describes the quality of pain? -mild pain pain is a dull ache I notice it gets worse after I eat pain makes me feel sick - correct answer Pain is a dull ache what are the normal ranges for potassium? - correct answer 3.5-5 What is a correct statement about cane use? - correct answer cane should be held on the stronger side of the body What position should a client be in for incentive spirometry? - correct answer semi fowlers what should a nurse include in C diff education? - correct answer family should wear gowns and gloves what should you do with medical waste? - correct answer ask another nurse to observe the medication wastage what is the sound that was included in the practice assessment? - correct answer arterial bruits how do you irrigate an indwelling cath? - correct answer subtract the amount of irrigant used from the clients urine output what should you assess to identify safety needs? - correct answer visual acuity, fields, and pupil clarity what is a sign of infiltration in an IV? - correct answer blanched skin what should you do before administering 0.5 ml of an oral liquid medicine? - correct answer shake the medicine to ensure that it is mixed properly what is the priority assessment to an older adult after giving Iv fluids? - correct answer Auscultate lung sounds how do you help someone with vision loss eat better? - correct answer describe food location in clock pattern when someone has been immobile for three weeks, what requires further assessment? - correct answer erythema on pressure points what should the nurse do when suctioning secretions from someone with a new trach? - correct answer choose a suction that is half the size of the lumen what precautions are required with a patient with the flu? - correct answer droplet what can help a patient with sleeping difficulty? - correct answer progressive relaxation patterns before bed when you find a client after a fall, what do you do first? - correct answer assess for injuries what item should be removed from a mechanical soft diet? - correct answer egg that is not scrambled what is priority when assisting w new hygiene care? - correct answer ask the patient if they are able to help with their care what indicates that a client understands their oxygen therapy? - correct answer make sure there is no electrical issues in their house since oxygen is highly flammable what is the most important with intermittent tube feedings through an open system? - correct answer tell the client to keep the HOB at least 30 degrees what is romberg's test? - correct answer It's a motor function test. Patient stands still and closes eyes. If the patient looses balance it's a positive result. If the patient stands still it's a negative result. what screening should a middle aged adult at moderate risk for colon cancer do? - correct answer fecal occult blood test every year what indicates thrombophlebitis? - correct answer calf swelling with a client with N/V for the past three days, what should you expect? - correct answer RAPID heart rate what is teaching strategy for an older adult - correct answer allow extra time for them to answer questions what precautions should you take with a purulent abdominal wound? - correct answer contact what is a violation of hippa? - correct answer a nurse asking another nurse for assistance with documentation what should you do when doing wound irrigation? - correct answer cleanse the wound from the center outward if a client is refusing treatment and their partner wants them to get it, what do you do? - correct answer withhold the treatment. what is three tenths of a milligram? - correct answer 0.3 mg what is the correct order of steps while administering regular insulin and NPH insulin - correct answer 1. put air into the NPH 2. put air into the regular 3. draw up the regular 4. draw up the NPH what indicates understanding of 24 hour urine collection? - correct answer I flushed at 7 am but have saved all the urine since what is within the RN scope of practice? -putting in an endotracheal tube -enteral feeding insert a port suture a lasceration - correct answer enteral feeding When given 25,000 unites of heparin in 250 mL of 0.9% chloride to infuse at 800/units per hour. what is the rate? - correct answer 8 ml/hr what will help while inserting an NG tube? - correct answer have the patient take sips of water to promote insertion of the NG tube into the esophagus what can help with skin breakdown? - correct answer have the client use a trapeze bar when changing position what should you do if a patient is refusing incentive spirometry after surgery? - correct answer determine the reasons that he or she is refusing the incentive spirometer what should the nurse do while inserting a periphral IV catheter in an older adult? - correct answer place the client's arm in a dependent position what should be done with medication administration? - correct answer use the full complete name of the drug ex: magnesium sulfate If an order says "digoxin 0.25 by mouth" what do you question? - correct answer the dose what should you do with antiembolic stockings? - correct answer remove them once per shift when a caretaker expresses that they feel frustrated about finding time to do other things, and care for their loved one, what is this an example of? - correct answer role overload what i