ATI RN Comprehensive Online Practice 2024 A Exam Questions And Answers

A nurse is caring for a client in the emergency department (ED). 0600: Client presents with acute altered mental status. Client has a history of frequent ED visits for alcohol intoxication. Client states that they had an episode of binge drinking yesterday afternoon. Client awoke this morning on the living room floor trembling and flushed; remembers having intense dreams and was afraid they had a seizure so they called a family member to bring them to the ED. Clients report their average alcohol intake has been "two or three beers" after work each day and "more on the weekends" for the past 6 months. Client reports headache, nausea, agitation, and is noted to be diaphoretic. 0800: Client states "I've got bugs crawling on me. Get them off me!" Client tremulous and diaphoretic. History and Physical: Alcohol use disorder Delirium tremens Nicotine use disorder Hypertension, diet and exercise control. Vital Signs 0 - ANS a. Initiate seizure precautions c. Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) d. Administer chlordiazepoxide e. Maintain a low-stimulation environment f. Administer thiamine an RN is observing a licensed practical nurse LPN and an assistive personnel AP move a client up in bed. for which of the following situations should the nurse intervene? - ANS The LPN and the AP grasp the client under their arms to lift him up in bed. This can result in shoulder dislocation or other injury to the client. A nurse is creating a plan of care for a client who has left-sided weakness following a stroke. Which of the following interventions should the nurse include in the plan? - ANS Support the client's left arm on a pillow while sitting. Prevents the extremity from hanging freely because this can cause shoulder subluxation. A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. Which of the following actions should the nurse plan to take? - ANS Allow for frequent rest periods throughout the day.