NGN ATI RN OB COMPREHENSIVE EXAM LATEST 2024 WITH CORRECT ANS GRADED A+

American women who are at risk for developing breast cancer. Which resource is most important in designing this program? • A listing of African-American women so live in the community • Participation of community leadersin planning the program • Morbidity data for breast cancer in women of all races • Technical assistance to produce a video on breastself-examination. • Rationale: When developing aculturally-competent health promotion project, the participation of stakeholders and community leaders is most important. A and B might be useful background information, but t=first the program should be developed. D may be useful fulfilling the plan developed by thehealth care team and thecommunity leadersif funding forthis assistance isincluded in the budget. • The home care nurse provide self-care instruction for a client chronic venous insufficiency cause by deep vein thrombosis. Which instructions should the nurse include in theclient’s discharge teaching plan? Select all that apply • Avoid prolonged standing or sitting • Use recliner for long period ofsitting • continue wearing elasticstocking • Maintain the bed flat while sleeping • Crosslegs at knee but not at ankle • The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention? • Lip smacking and frequent eye blinking • Shuffling gait and stooped posture • Rocks back and forth in the chair • Muscle spasms of the back and neck • Rationale:Anextrapyramidalsymptom(EPS)characterized by abnormalmuscle spasms of the neck (A) requires immediate intervention because it can cause difficulty swallowingandjeopardizetheairway. Though(A,BandC)arealso EPScausedby antipsychotic medications used to manageschizophrenia (D)has thehighestpriority to insure client safety is(A) • A maleclientwas transferred yesterday fromtheemergency department to the telemetryunitbecausehehad STdepressionandresolved chestpain. Whenhis EKGmonitoralarmsforventriculartachycardia (VT), what action should the nurse take first? • Determine the client’s responsiveness and respirations • Bring the crash cart to the room to defibrillate the client. • Immediately initiate chestcompressions. • Notify the emergency response team • Rationale:Activities, suchas brushingteeth, canmimic thewaveformofVI,sofirstheclient should be assessed (A) to determine if the alarm is accurate. The crash cart can be broughttotheroombysomeoneelseanddefibrillation(B)deliveredasind icatedbythe client’s rhythm. Based on as assessment of the client, CPR© as summoning the emergency response team (D) may be indicated. • A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which assessment finding warrants immediate intervention by the nurse? • The client has asymmetrical chest wall expansion • The clients complain of pain at the insertion site • The client chest’s x-ray indicates decreased pleural effusion • The client’s arterial blood gases are pH7.35,PaO2 85, PaCO2 35, HCO3 26 • Rationale: A potential complication of thoracentesis is a pneumothorax. The symptoms of apneumothorax are uneven, unequal movement of the chest wall. A is an expected finding after the local anesthetic effects wear off Bisa desiredresultofthoracentesisand C is within normal limits