ATI RN Comprehensive Practice B

A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? Assist with deep breathing and coughing A nurse is talking with a client "I told my doctor that I would like to start a support who has stage IV breast group for other women who are sick in my cancer. The nurse should community" recognize which of the following statements by the client as a constructive use of a defense mechanism? A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? Monitor the client's mouth every 8 hr A nurse is caring for a 2 month C old infant who has The nurse should assess the infant's abdomen for Hirschsprung disease (HD). distention and visible peristalsis, which are Which of the following areas manifestations of HD should the nurse assess for manifestations of HD? 2/37 A nurse at a mental health clinic A client who was abused as a child describes the is caring for four clients. The abuse as if it happened to someone else nurse should recognize the following clients is using dissociation as a defense mechanism? A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia? irritability A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism? A client who channels their energy into a new hobby following the loss of their job A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care? "We can expect the hospice nurse to provide support for us after our mother's death"