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Exam (elaborations)

Quiz 7 - Chapters 27-31 (ATI - Fundamental A)

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Quiz 7 - Chapters 27-31 (ATI - Fundamental A)ATI Test – Chapters 27-31 – Fundamentals A A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take? Gently shake the container of medication prior to administration A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects? Auscultate lung sounds A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following interventions should the nurse include in plan of care? Use a clock pattern to describe food on the clients plate A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention? Erythema on pressure points A nurse is reviewing protocol in preparation for suction secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take? Select a suction catheter is half the size of the lumen. A nurse is admitting a client who has varicella. Which of the following types of transmission precations should the nurse initiate? Airborne A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures should the nurse recommend? Use progressive relaxation techniques at bedtime A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? Check the client for injuries A nurse is caring for a client who has had a diet prescription changed to a mechanical soft diet. Which of the following food items should the nurse remove from the client’s breakfast tray? Fried Eggs A nurse in a long-term care facility is planning to perform hygiene care for a new resident. Which of the following assessment questions is the nurse’s priority before beginning this procedure? “Are you able to help with your hygiene care?” A nurse is giving discharge instructions to a client who will require oxygen therapy at home. Which of the following statements should the nurse identify as an indication that the client understands how to manage this therapy at home? “I’ll check the wires and cables on my TV to make sure they are in good working order.” A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first? Tell the client to keep the head of the bed elevated at least 30 degrees. A nurse is performing a Romber’s test during techniques should the nurse use? Have the client stand with her arms at her side and her feet together.

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