Verified ATI RN Concept - Based Assessment Level 4 Online Practice A |Study Guide| 100% Correct
Verified ATI RN Concept - Based Assessment Level 4 Online Practice A |Study Guide| 100% Correct A nurse is teaching a client who has been newly diagnosed with systemic lupus erythematosus (SLE). Which statement by the client indicates an understanding of the teaching? "I should inspect my skin daily for cuts and rashes" A nurse is caring for a client who has Parkinson's disease. Which of the following actions should the nurse take to promote the client's mobility? Instruct the client to perform range-of-motion exercises - The nurse should instruct the client to perform stretching and range-of-motion exercises to promote mobility. exercising and walking help to delay the progression of the disease. A nurse is caring for a client who has had a myocardial infarction and suspects cardiogenic shock. The nurse should monitor for which of the following manifestations? Pulmonary Congestion -Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac muscle A nurse is assessing a client who has a DNR order and has stopped breathing. The family asks the nurse to resuscitate the client. Which action should the nurse take? Respect the client's preferences. A nurse manager is teaching a group of nurses about OSHA. What information should the nurse include? Sets standards for hazardous exposures in the workplace. A nurse manager identifies that the number of client medication administration errors on the unit has increased. When creating a cause-and-effect chart, which of the following information should the nurse manger include? Possible reasons for the medication errors. ------------------------------------------------- The nurse manager should identify and include possible reasons for the occurrence of medication errors when creating a cause and effect chart. This data assists in the prevention of future medication errors. A nurse manager notices that he has exceeded the amount of money allocated for labor costs for the quarter. Which action should the nurse manager take? involve staff nurses in budge planning. -this promotes awareness of the costs of staffing a unit and encourages cost-effective care. A nurse is providing teaching to a client who has a halo device applied to prevent further cervical spinal cord injury following a diving accident. What info should the nurse include? "Avoid leaning forward when attempting to stand." -the weight of the halo device can alter balance. leaning forward could cause the client to fall. A nurse is working on an interprofessional collaboration plan of care for a client who has a stage 3 pressure ulcer. Which action should the nurse recognize as the. role of the licensed practical nurse (LPN)? Administer pain medication A nurse manager is facilitating conflict resolution between two nurses who disagree about the need to make a referral to a social worker. Which conflict management strategies should the nurse manager use? Offer self to constructively facilitate communication. -The nurse manager will be the impartial third party in this communication A nurse is having a disagreement with a coworker about a client assignment. When following the chain of command, which of the following individuals should the nurse contact to discuss the conflict? The charge nurse - When following the chain of command, the nurse should communicate with his immediate supervisor about any questions and concerns he has, including a conflict with a coworkers. A triage nurse is prioritizing clients following a mass casualty disaster. Which of the following clients should the nurse treat first? A client who is exhibiting manifestations of shock. -a client exhibiting manifestations of shock requires immediate intervention for survival. A nurse is caring for a client who has a partial-thickness burn and a prescription for a silver sulfadiazine cream. Which intervention should the nurse take? Monitor the client's WBC. -A drop in the WBC count can be an indication of an allergic reaction to the silver sulfadiazine cream A nurse is preparing to administer nitroglycerin topical ointment to a client who had a myocardial infarction. Which action should the nurse plan to take? (move steps in order) 1) Cleanse the client's skin and allow it to dry 2) Apply a thin layer of medication ointment to the dosing paper. 3) Spread the medication over a 6.4 by 8.9 cm area of skin 4) Cover the medication site with plastic wrap 5) Remove the medication in 6 hr. A nurse manager is teaching a group of nurses about professional negligence. Which of the following situations should the nurse manager include as an example? Administering heparin to a client who is undergoing a lumbar puncture. A nurse who administers heparin to client who is undergoing a lumbar puncture is an example of negligence. Anticoagulant medication can cause bleeding in the lumbar area A nurse is teaching a client who has deep-vein thrombosis and is receiving heparin injections. The nurse should instruct the client to report which of the following manifestations as an adverse effect of this medication? An increase in nosebleeds -increase in nosebleeds or bruising can be indications of a hemorrhage, which is an adverse effect of heparin A community health nurse is teaching a newly licensed nurse about the types of psychiatric health care settings available in the community. Which should the nurse identify as a primary care setting? Outpatient counseling clinic -primary care setting clinics provide strategies for clients to prevent or delay mental health issues We have an expert-written solution to this problem! A nurse manager is informed that the family of a client is preparing to file a malpractice lawsuit. The nurse should identify which of the following situations as potential malpractice? Failure to identify an infiltrated IV ------------------------------------------------------- The nurse manager should identify that failure to provide reasonable care, such as identifying IV infiltration, can contribute to malpractice. The nurse should provide care that a reasonably prudent nurse would provide under the same circumstances. A community health nurse is planning a public health presentation aimed at minimizing health care disparities. Which of the following age groups should the nurse identify as the priority for increasing health literacy? Older Adults - Evidence-based practice indicates that the nurse should target older adults because this age group has the lowest level of health literacy compared to other groups. A charge nurse is planning care for a group of clients. Which task should the nurse delegate to the LPN? Obtain a blood glucose level from a client who has type 1 diabetes mellitus. -------- ------------------------------------------------ Obtaining a blood glucose level from a client who has type 1 diabetes mellitus is within the scope of practice of the LPN. A nurse is planning care for a child who has cystic fibrosis. Which intervention should the nurse include? Increase the child's daily fat intake to 40% of total calories -due to impaired intestinal absorption of fat A nurse manager is teaching a unit nurse about case management. What information should the nurse manager include in the teaching about the role of the nurse as a case manager? Advocates for services the client needs -------------------------------------------------------- A nurse case manager's role is to advocate for services needed and available resources to meet the client's need
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verified ati rn concept based assessment level
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