ATI CAPSTONE ADULT MEDICAL SURGICAL ASSESSMENT 2/LATEST UPDATE /QUESTIONS WITH CORRECT DETAILED ANSWERS WITH RATIONALES/A+ GRADE

ATI CAPSTONE ADULT MEDICAL SURGICAL ASSESSMENT 2/LATEST UPDATE /QUESTIONS WITH CORRECT DETAILED ANSWERS WITH RATIONALES/A+ GRADE 1. A nurse is teaching a group of assistive personnel (AP) about caring for clients who have Alzheimer's disease. Which of the following information should the nurse include in the teaching? Explain procedures in full detail to client before initiating care Limit a client’s activities to minimize emotional outbursts Speak clearly and loudly to a client who is unable to form words or sentences Provide supervision to prevent a client from becoming injured or lost RATIONALE: A client who has Alzheimer's disease can wander and become lost. The AP should initiate interventions to keep the client safe, such as redirection, frequent monitoring, and reorientation. The AP should encourage a client who has Alzheimer's disease to participate in activities for as long as possible because socializing with others can provide the client with comfort = D 2. A nurse is developing a plan of care for a client who will be placed in halo traction following surgical repair of the cervical spine. Which of the following interventions should the nurse include in the plan? Inspect the pin site every 4 hr Monitor the client’s skin under the halo vest Ensure two personnel hold the halo device when repositioning the client Apply powder frequently to the client’s skin under the vest to decrease itching RATIONALE:The nurse should monitor the client’s skin that is under the halo vest for excessive sweating, redness, or blistering which can lead to skin breakdown and infection. To ensure the vest is not causing pressure, the nurse should be able to insert one finger between the jacket and the skin with ease = B 3. A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should