Virtual ATI Fundamentals Questions and Answers | Verified Answers with Rationale | Brand New Version!

A nurse is caring for school-age client was diagnosed with sickle cell anemia and has been admitted for vaso-occlusive crisis. Which of the following findings has the highest priority? ----CORRECT ANSWER------Slurred Speech A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine ear drops for pain relief. Which of following actions by the nurse is appropriate when administering the ear drops? ----CORRECT ANSWER------Warm refrigerated drops to room temp prior to instillation A nurse is caring for a client who is one month post bariatric surgery and has been diagnosed with dumping syndrome. Which of the following recommendations is appropriate? Select all that apply. a. Sit up for at least an hour after each meal. b. Reduce the amount of protein and fat in the diet. c. Eliminate liquids with meals, and for one hour before and after meals. d. Avoid consuming milk, sweets, and sugars. e. Eat small, frequent meals during the day. ---CORRECT ANSWER----Avoid consuming milk, sweets, and sugars., Eat small, frequent meals during the day., Eliminate liquids with meals, and for one hour before and after meals. Dumping syndrome frequently occurs after bariatric surgery and symptoms can include vertigo, syncope, pallor, diaphoresis, tachycardia, and palpitations. Therapy includes: small, frequent meals rather than large ones; avoidance of milk, sweets, and sugars; elimination of liquids with meals and for one hour before and after meals; reduction in the amount of fluid ingested at one time, eating a high-protein, high-fat, and low-tomoderate carbohydrate diet; and lying down after meals to slow transit time of food in the intestines. A nurse is caring for a client hospitalized with Guillain-Barré Syndrome who has been in the intensive care unit on a ventilator for four days. Which of the following would be most appropriate in assessing for complications of immobility? Select all that apply. a. Assess the character of bowel sounds and frequency of stools. b. Observe skin color over sacral, heels, and scapulae areas. c. Assess rate and depth of respiratory effort. d. Assessing the client's ability to move lower extremities. e. Performing range of motion on the client's ankles, knees, and hips. ---CORRECT ANSWER----The correct answer is: Performing range of motion on the client's ankles, knees, and hips., Assess the character of bowel sounds and frequency of stools., Observe skin color over sacral, heels, and scapulae areas. Potential complications of immobility could include the following: loss of joint motion and contractures, decreased gastrointestinal motility and constipation, deep vein thrombosis with erythema and swelling of the calf areas, and skin breakdown with early evidence of pallor, erythema, blistering over bony prominences.