Rn Ati Capstone

RN ATI CAPSTONE A nurse is teaching a client who is scheduled for an intravenous pyelogram. The nurse should identify that which of the following client statements indicates an understanding of the procedure? "Contrast dye will be used for this test." The nurse should ensure the client understands that a contrast dye is injected through a vein to visualize the passage of urine from the renal pelvis to the bladder. This study is used to diagnose hematuria or obstruction of the urinary tract and can identify the presence of renal calculi or tumors. A nurse manager is teaching about the rights of delegation to assistive personnel (AP) and practical nurses (PN). Which of the following examples should the nurse manager include in the teaching? Delegating a PN to insert an indwelling urinary catheter The insertion of an indwelling urinary catheter is a nursing responsibility. The RN must be the one to assess the client's need for catheterization and can then delegate the responsibility of insertion to a PN. Due to the knowledge of anatomy and sterile technique, this task does not fall within the range of function for an AP. A nurse is planning to discharge a client who had a stroke 1 week ago to home. The nurse should collaborate with which of the following members of the interprofessional team to assist the client with the preparation of nutritious meals? Registered dietitian The nurse should collaborate with the registered dietitian for assistance with the preparation of nutritious meals. The registered dietitian has the specific dietary knowledge to assist both the client and those who may be assisting the client. A nurse is caring for an older adult client who is postoperative following abdominal surgery. Which of the following age-related changes can result in delayed wound healing? Decreased sebum production The nurse should identify that older adult clients experience a decrease in sebum production, which causes the skin to become dry and can cause an increase in cracking. This can result in delayed wound healing. A nurse is assessing a client who has enlarged lymph nodes. In which of the following locations should the nurse palpate to locate the postauricular nodes? Over the mastoid The nurse should palpate over the mastoid or behind the ear to assess the postauricular nodes. The detection of an enlarged or tender lymph node can indicate the presence of an infection or a malignancy and should be reported to the provider. A nurse is teaching a client who has COPD about how to use an incentive spirometer. Which of the following instructions should the nurse include? "Cough after the incentive spirometer procedure." The nurse should encourage the client to cough following the incentive spirometer procedure. After breathing deeply, secretions can become loose and coughing can help to remove them. A nurse is creating a plan of care for a client who is at risk for falls. Which of the following interventions should the nurse include in the plan? Have the client demonstrate the use of the call light. The nurse should teach the client how to use the call light to receive assistance when there is a need to get out of bed or a chair. The nurse should keep the call light within the client's reach at all times and have the client demonstrate the ability to use it properly. A nurse is assisting a client to ambulate to the bathroom when the client begins to fall. Which of the following actions should the nurse take? Place one foot in front of the other while spreading the feet apart. The nurse should place one foot in front of the other while spreading the feet farther apart to widen their own base of support. Then the nurse should lower the client to the floor as smoothly as possible. This will assist with supporting the client's weight and help to prevent injury to the nurse. A nurse enters a client's room and finds the client on the floor experiencing a seizure. Which of the following actions should the nurse take? Position the client on their side. The nurse should position the client on their side. This assists the client's airway to remain open and can prevent aspiration if the client has emesis or secretions in their mouth. A nurse is preparing to administer medications to a client. Which of the following information should the nurse use to verify the client's identity? Home telephone number The nurse should recognize the client's home telephone number is an acceptable identifier to use when identifying the client prior to medication administration. Other acceptable client identifiers can be the client's medical identification number, the name on the client's wristband, or a photograph of the client.