ATI FUNDAMENTALS review 2024

ATI FUNDAMENTALS review 2024 diuresis - Answer-AKA polyuria (excessive urination) Advise the client to perform ROM exercises in bed - Answer-a nurse is caring for a client who states that she does not want to get out of bed due to pain from arthritis. Which of the following actions should the nurse take? Provide more water with feedings - Answer-a nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. The specific gravity of the client's urine is 1.035. Which of the following actions should the nurse take? Respiratory alkalosis - Answer-ABG's, high Ph. PaCO2 below expected range Metabolic acidosis - Answer-higher ph, paCO2 within expected range Antagonisitc - Answer-a nurse is reinforcing teaching with a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen in physical therapy. Which of the following muscle groups are responsible for movement at the knee joint? intimacy vs. isolation - Answer-Erickson's stage for young adults - finding partner, adjust to living w/ partner, making plans to start family, raising/nurturing children, managing a home, establish an affiliation w/ a social group, civic responsibility increased cerumen - Answer-a nurse is in a provider's office is collecting data from an older adult client. Which of the following findings should the nurse expect? pocketing food - Answer-a nurse in a long-term care facility is feeding a client. Which of the following observations should the nurse identify as an indication that the client requires an evaluation for dysphagia? Have another nurse witness the disposal of the medication - Answer-a nurse is administering a controlled substance to a client who is postop. The IM dosage requires the nurse to use only part of the amount of the medication in the vial. Which of the following actions should the nurse take? I will make sure to replace my pouch around 4 hours after I eat - Answer-A nurse is reinforcing teaching w/ a client who has a new colostomy. Which of the following statements should the nurse identify as an indication that the client understands the instructions? TENS unit - Answer-modulates the transmission of pain impulse collapse air from the device after emptying - Answer-a nurse is caring for a client who had a mastectomy and has a self-suction drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device? apply pressure to the bridge of the nose after instillation of the medication - to prevent systemic absorption - Answer-a nurse is preparing to administer timolol eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take? Vesicular - Answer-lung sounds over major part of lungs initiative vs. guilt - Answer-preschoolers guilt, frustration and help control impulses and cooperative w/ others altered development can result from harsh punishment and excessive limits on behavior Cranial nerve XII hypoglossal - Answer-innervates the tongue, by observing a range of tongue movements Cranial nerve V trigeminal - Answer-ask client to clench teeth and palpate masseter muscle for contraction to test this cranial nerve Cranial nerve VIII vestibulocochlear - Answer-using Rinne and Weber tests, ask client if they can hear whisper Depressed deep tendon reflexes, nausea, vomiting, bone pain, lethargy, weakness - Answer-Calcium level EXCESS expected findings The basal metabolic rate could decrease - Answer-A nurse is reinforcing teaching about nutrition w/ a middle adult client who has a sedentary job. Which of the following factors should the nurse consider? Hyper oxygenate the client before suctioning - Answer-A nurse is caring fo ra client who has a tracheostomy and requires suctioning. Which of the followi