Fundamentals 2020 RN Virtual ATI - Fundamentals Alternate Item Format Quiz with complete solutions.

Fundamentals 2020 RN Virtual ATI - Fundamentals Alternate Item Format Quiz with complete solutions. A nurse is caring for a client with Crohn's Disease. Which of the following foods can be included in this client's diet? Select all that apply. Select one or more: a. Raisins b. Wild rice c. Fresh celery d. Pasta e. Eggs - correct answers.d. Pasta e. Eggs Low-fiber, low-residue diets are recommended for clients with Crohn's Disease. Foods that are appropriate for clients with Crohn's Disease include: Tender, ground, well-cooked meat, eggs, fish, poultry, refined pasta and cereal, white rice and bread, canned or cooked vegetables without skin or seeds and juices without pulp. A nurse is caring for a client in Buck's Traction. Which of the following nursing interventions would ensure effective therapy? Select all that apply. Select one or more: a. Assist the client to roll from side to side. b. Ensure that all weights are free hanging. c. Maintain countertraction with weights. d. Prevent wrinkling of the traction bandage. e. Support the leg in adduction. - correct answers.b. Ensure that all weights are free hanging. d. Prevent wrinkling of the traction bandage. All weights must be free hanging to ensure effective traction. To ensure effective Buck's traction, it is important to avoid wrinkling and slipping of the traction bandage and to maintain countertraction. 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. Eat small, frequent meals during the day. b. Reduce the amount of protein and fat in the diet. c. Avoid consuming milk, sweets, and sugars. d. Eliminate liquids with meals, and for one hour before and after meals. e. Sit up for at least an hour after each meal. - correct answers.a. Eat small, frequent meals during the day. c. Avoid consuming milk, sweets, and sugars. d. 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-to- moderate 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. Performing range of motion on the client's ankles, knees, and hips. b. Assess the character of bowel sounds and frequency of stools. c. Observe skin color over sacral, heels, and scapulae areas d. Assessing the client's ability to move lower extremities. e. Assess rate and depth of respiratory effort. - correct answers.a. Performing range of motion on the client's ankles, knees, and hips. b. Assess the character of bowel sounds and frequency of stools. c. 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. An 87-year-old client has been admitted repeatedly to the acute care setting for pneumonia. The client's family asks what measures can help prevent recurrent respiratory issues. Which of the following measures should the nurse discuss to prevent respiratory issues? Select all that apply. Select one or more: a. Reassure the client during respiratory distress. b. Ambulate the client regularly, daily. c. Administer a prior dosage of antibiotics when the client has a cough. d. Use a humidifier to moisten the air in the client's room, when needed. e. Encourage a diet high in protein. - correct answers.a. Reassure the client during respiratory distress. b. Ambulate the client regularly, daily. d. Use a humidifier to moisten the air in the client's room, when needed. Encourage structured activities, after learning the client's physical capabilities and provide rest periods to prevent dyspnea. Using a humidifier during drier seasons can help prevent secretions from becoming thick and difficult to expectorate. If a client is having difficulty breathing, the caregiver(s) should provide support and reassurance to decrease the client's anxiety. A nurse is assisting a client with an advance directive. Which of the following nursing responsibilities should be included regarding advance directives? Select all that apply. a. Inform all members of the client's family of the client's wishes. b. Ensure that each family member receives a copy of the advance directive. c. Confirm that the advance directive is current. d. Provide written information to the client about advance directives. e. Document the client's advance directive in the medical chart. - correct answers.c. Confirm that the advance directive is current. d. Provide written information to the client about advance directives. e. Document the client's advance directive in the medical chart The nursing responsibility regarding advance directives is to ensure that the advance directive is current and reflective of the client's current decisions. Which of the following client care assignments is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)? Select all that apply. Select one or more: a. Obtain vital signs every 4 hours for a client with ulcerative colitis. b. Assist a client with a new transurethral prostectomy with perineal care. c. Apply a dressing to a superficial laceration on the client's arm. d. Provide initial food by mouth for a client who has experienced a brain attack. e. Transport a client who is utilizing oxygen and has a peripheral IV catheter. - correct answers.a. Obtain vital signs every 4 hours for a client with ulcerative colitis. b. Assist a client with a new transurethral prostectomy with perineal care. e. Transport a client who is utilizing oxygen and has a peripheral IV catheter. Assisting followers in identifying situations appropriate for delegation is considered an effective leadership function. Assisting followers to use delegation as a time management strategy and team-building tool is considered an effective leadership function. Functioning as a role model, supporter, and resource person in delegating tasks to subordinates are leadership functions that are associated with delegation.