ATI NUR 265 (ANSWERED) COMPLETE SOLUTION

ATI NUR 265 (ANSWERED) COMPLETE SOLUTION A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? A nurse is preparing to administer lactated RInger’s via continuous IV infusion at 200 mL/hr. The IV tubing has a drop factor of 10 gtts/mL. How many gtt/min should the nurse set the IV pump to administer? A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicated an understanding of the teaching? A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. Which of the following instructions should the nurse include in the teaching? INSTALL A RAISED TOILET SEAT IN YOUR BATHROOM. A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take? MAINTAIN THE CLIENT’S AFFECTED EXTREMITY IN EXTENSION A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change? I WILL NEED TO HAVE MY PARTNER TAKE OVER SHOPPING FOR GROCERIES AND THE COOKING A nurse is providing teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching? A nurse is caring for a client who has a contusion and reports thirst. The client’s urinary output was 4,000 cc over the past 24 hr. The nurse should anticipate a prescription for which IV medication? A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE Inhibitor and reports a nagging, dry cough. Which of the following responses by the nurse is appropriate? A nurse us taking an admission history from a client who reports Raynaud’s disease. Which of the following assessment findings should the nurse identify as a parenteral trigger for exacerbation of the disease? USING A NICOTINE TRANSDERMAL PATCH. A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse “I’m not sure I want a mastectomy.” What statement should the nurse make? I CAN GIVE YOU ADDITIONAL INFO ABOUT THE PROCEDURE. A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The nurse should identify which as a factor? HISTORY OF CROHN’S DISEASE A nurse in the ED is assessing a client. Which of the following actions should the nurse take first? (Click on “exhibit”) A nurse is caring for a client who has a central venous device and notes the tubing has become disconnected. The client reports dyspnea and tachycardia. Which action should the nurse take first? A nurse is completing an assessment of an older client and notes reddened areas over the bony prominences, but the client’s skin is intact. Which intervention should the nurse include in the plan of care? SUPPORT BONY PROMINENCES WITH PILLOWS A home health nurse is making an initial visit to a client who has multiple sclerosis. Which action should the nurse take? LIST STRATEGIES FOR FAMILY COPING WHEN DEALING WITH POSSIBLE ROLE CHANGES. A nurse is preparing to administer a unit of RBC’s to a client who is anemic. Identify the sequence of steps the nurse should follow. A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breath expander. Which statement by the client indicates an understanding of the teaching? I SHOULD EXPECT LESS THAN 25 ML OF SECRETIONS PER DAY IN THE DRAINAGE DEVICES A critical car nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open her eyes, displays decerebrate posturing and makes incomprehensible sounds. What is their Glasgow Coma Scale score? A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which statement indicates understanding of the teaching? A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which action should the nurse take first? INSTILL 0.9% SODIUM CHLORIDE SOLUTION INTO THE AFFECTED EYE. A nurse is assessing a client following extubation from a ventilator for which of the following should the nurse intervene immediately? AUSCULTATION OF STRIDOR A nurse is proving discharge teaching to a client who is recovering from a sickle cell crisis. Which instruction should the nurse include? AVOID EXTREMELY HOT OR COLD TEMPS A nurse is planning care for a client who has a pulmonary embolism. Which intervention should the nurse take? INITIATE A CONTINUOUS IV HEPARIN INFUSION A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the findings A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings should the nurse expect? A nurse in the post anesthesia care unit is assessing a client following an appendectomy and finds a 2 cm area of blood on the postoperative dressing. Which of the following actions should the nurse take? APPLY PRESSURE A nurse is reviewing medications taken at home with a client who has angina. Which statement by the client indicates an underwing of the teaching? I SHOULD LIE DOWN BEFORE TAKING A DOSE OF ISOSORBIDE DINITRATE A nurse in a provider office is caring for a client who has total vision loss and is the handler of a service dog. Which action should the nurse take to show consideration for the client and the service dog? A nurse is caring for a client who is 6 hr postoperative following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of the following electrolyte imbalance? A nurse is caring for a client who is receiving total parenteral nutrition through a central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take? SWITCH THE INFUSION TO A 10% DEXTROSE SOLUTION A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? A nurse is caring for a client in DKA. Which intervention should the nurse take? A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the following findings indicated hypokalemia? A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation on the graft? A nurse in the ED is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first? INSERY A LARGE-BORE IV CATHETER A nurse is caring for a client who is receiving mechanical ventilation. Which of the following interventions should the nurse implement? A nurse is planning care for a client who has full thickness burns on the lower extremities. Which of the