ATI Fundamentals

ATI Fundamentals A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid? Clean the hearing aid with isopropyl alcohol. A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take? Measure the client's BP in the other arm. A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about incident reporting. The nurse should identify that it is necessary to complete an incident report for which of the following situations? A client's bed alarm is malfunctioning. A nurse is caring for a client who is terminally ill and has a do-not-resuscitate order on his medical record. The client asks, "What should I do if I have difficulty breathing?" Which of the following responses should the nurse make? "Call me so that I can help you change your position." A nurse is collecting data from a client who is malnourished due to inflammatory bowel disease. Which of the following findings should the nurse expect? Brittle hair A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include? Avoid placing the toilet tissue in the bedpan after defecation. A nurse is collecting data from a female client who has a body mass index of 32. The nurse should classify the client as which of the following? Obesity class I