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Exam (elaborations)

ATI PN FUNDAMENTALS PROCTOREDEXAM (11 LATEST VERSIONS LATEST UPDATED EXAMINATION VERSION. NUGGETS OF SUCCESS BEST EXAMINATION STUDY GUIDE 2023

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A nurse is receiving the prescription for a client who is experiencing dysphagia following a stroke. Which of the following prescriptions should the nurse clarify? • Dietitian consult • Speech therapy referral • Oral suction at the bedside • Clear liquids- liquids must be THICK. Clear liquids can cause aspiration □ Rationale: ATI MS. Pg. 83 food levels for dysphagia include pureed, mechanicallyaltered, advanced/mechanically soft, and regular. • A nurse is administering a large volume enema to a client. Identify the sequence of steps thenurse should follow after preparation and lubricating the enema set.(ati funds video enema) • Administer the enema solution.(2) • Remove the enema tube from the clients rectum.(4) • Wrap the end of the enema tube with a disposable tissue.(5) • Insert the enema tube into the client's rectum.(1) • Clamp the enema tube.(3) • nurse is inserting an NG tube for a client who requires gastric decompression. Which of thefollowing actions should the nurse take to verify proper placement of the tube? • Place the end of the NG tube in water to observe for bubbling. • Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 mL of sterile water.AIR NOT WATER OR BY ASPIRATING GASTRIC FOR PH. • Assess the client's gag reflex. • Measure the pH of the gastric aspirate. • A nurse is teaching a group of newly licensed nurses about the Braden Scale. Which of thefollowing responses by the newly licensed nurse indicates an understanding of the teaching? • “The client‟s age is part of the measurement.” - rationale is same as b. • “The scale measures six elements.”

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