ATI RN capstone proctored comprehensive assessment 2019 B Test Questions and Answers |100% Verified Answers LATEST UPDATE 2023 / 2024 A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions isthe priority

ATI RN capstone proctored comprehensive assessment 2019 B Test Questions and Answers |100% Verified Answers LATEST UPDATE 2023 / 2024 A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions isthe priority? A.Assess fluid intake every 24 hours B.Ambulate three times a day C. Assist with deep breathing and coughing D.Monitor the incision site for findings of infectionC The priority action the nurse should take when using the airway, breathing, circulation approach to clientcare is to assist the client with deep breathing and coughing, which reduces the risk for postoperative pneumonia. A nurse istalking with a client who has stage IV breast cancer. The nurse should recognize which of thefollowing statements by the client as a constructive use of a defense mechanism? A. I have experienced physical discomfort when intimate with my partner since my diagnosis B. I wish other women would stop socializing with my partner C. I told my doctor that I would like to start a support group for other women who are sick in mycommunity D. I used to mistrust my doctor, but now I know that she is the best one to care for me during my illnessC Thisstatement indicates that the client is using the constructive defense mechanism sublimation bydevising a socially acceptable alternative to facing a reality that she does not wish to accept. A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of thefollowing actions should the nurse take? A.Assess the clients IV site every 8 hours B. Check the clients WBC count every 48 hours C. Monitor the clients mouth every 8 hours D. Change the clients IV tubing