1
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Questions and Answers (100% Correct
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A nurse is caring for a client who is at 33 weeks of gestation
following an amniocentesis. The nurse should monitor the client for
which of the following complications?
A. Vomiting
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B. Hypertension
C. Epigastric pain
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D. Contractions[ ANS: ]D. Contractions
A nurse is providing teaching to an older adult client about
methods to promote nighttime
sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime[ ANS: ]D. Eat a light snack
before bedtime
A nurse on a telemetry unit is caring for a client who becomes
unconscious and whose monitor displays ventricular tachycardia.
, 2
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Which of the following actions should the nurse take first after
determining the client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine[ ANS: ]B. Defibrillate
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A nurse is admitting a client who 1 week postpartum and reports
excessive vaginal bleeding. The nurse does not speak the same
language as the client. The client's partner and 10-year-old child
are accompanying her. Which of the following actions should the
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nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the
client to translate[ ANS: ]C. Request a female interpreter through
the facility
A nurse is caring for a client who is febrile. To reduce the client's
fever, the nurse applies a cooling blanket. Which of the following
findings indicates the client is having an adverse reaction to the
cooling?
a. Flushing
, 3
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b. Tachycardia
c. Restlessness
d. Shivering[ ANS: ]d. Shivering
A nurse is caring for a client who has deep-vein-thrombosis of the
left lower extremity. Which of the following actions should the
nurse take? (Exhibit)
A. Position the client with the affected extremity lower than the
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heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
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C. Administer acetaminophen
D. Massage the affected extremity every 4 hr[ ANS: ]B. Withhold
heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
A nurse is reviewing assessment data from several clients. For
which of the following clients should the nurse recommend referral
to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)[
ANS: ]B. A client who has a nonhealing leg ulcer
, 4
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8. A nurse is providing discharge teaching to a client who has a
chronic kidney disease and is receiving hemodialysis. Which of the
following instructions should the nurse include in the teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict[ ANS: ]a. Eat 1 g/kg of
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protein per day
A nurse is caring for a client who is receiving intermittent enteral
tube feedings. Which of
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the following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
B. A history of gastroesophageal reflux disease
C. Receiving a high osmolarity formula
D. A residual of 65 mL 1 hr postprandial?[ ANS: ]B. A history of
gastroesophageal reflux disease
?A nurse is providing prenatal teaching to a client who is at 12
weeks of gestation. The nurse should tell the client that she will
undergo which of the following screening tests at 16 weeks of
gestation?
A. Chorionic villus sampling- as early as 8 weeks
B. Cervical cultures for chlamydia- 1st appointment.
For Expert help and assignment solutions, +254707240657
Virtual ATI predictor (Green Light) !!
Questions and Answers (100% Correct
Answers) Already Graded A+
A nurse is caring for a client who is at 33 weeks of gestation
following an amniocentesis. The nurse should monitor the client for
which of the following complications?
A. Vomiting
© 2025 Assignment Expert
B. Hypertension
C. Epigastric pain
Guru01 - Stuvia
D. Contractions[ ANS: ]D. Contractions
A nurse is providing teaching to an older adult client about
methods to promote nighttime
sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime[ ANS: ]D. Eat a light snack
before bedtime
A nurse on a telemetry unit is caring for a client who becomes
unconscious and whose monitor displays ventricular tachycardia.
, 2
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Which of the following actions should the nurse take first after
determining the client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine[ ANS: ]B. Defibrillate
© 2025 Assignment Expert
A nurse is admitting a client who 1 week postpartum and reports
excessive vaginal bleeding. The nurse does not speak the same
language as the client. The client's partner and 10-year-old child
are accompanying her. Which of the following actions should the
Guru01 - Stuvia
nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the
client to translate[ ANS: ]C. Request a female interpreter through
the facility
A nurse is caring for a client who is febrile. To reduce the client's
fever, the nurse applies a cooling blanket. Which of the following
findings indicates the client is having an adverse reaction to the
cooling?
a. Flushing
, 3
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b. Tachycardia
c. Restlessness
d. Shivering[ ANS: ]d. Shivering
A nurse is caring for a client who has deep-vein-thrombosis of the
left lower extremity. Which of the following actions should the
nurse take? (Exhibit)
A. Position the client with the affected extremity lower than the
© 2025 Assignment Expert
heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
Guru01 - Stuvia
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr[ ANS: ]B. Withhold
heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
A nurse is reviewing assessment data from several clients. For
which of the following clients should the nurse recommend referral
to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)[
ANS: ]B. A client who has a nonhealing leg ulcer
, 4
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8. A nurse is providing discharge teaching to a client who has a
chronic kidney disease and is receiving hemodialysis. Which of the
following instructions should the nurse include in the teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict[ ANS: ]a. Eat 1 g/kg of
© 2025 Assignment Expert
protein per day
A nurse is caring for a client who is receiving intermittent enteral
tube feedings. Which of
Guru01 - Stuvia
the following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
B. A history of gastroesophageal reflux disease
C. Receiving a high osmolarity formula
D. A residual of 65 mL 1 hr postprandial?[ ANS: ]B. A history of
gastroesophageal reflux disease
?A nurse is providing prenatal teaching to a client who is at 12
weeks of gestation. The nurse should tell the client that she will
undergo which of the following screening tests at 16 weeks of
gestation?
A. Chorionic villus sampling- as early as 8 weeks
B. Cervical cultures for chlamydia- 1st appointment.
