ATI RN Fundamentals Online Practice A

A client who is postoperative is verbalizing pain as 2 on a scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the postoperative teaching she received about pain management? - I think I should take my pain medications more often, since it is not controlling my pain. - Breathing faster will help me keep my mind off of the pain. - It might help me to listen to music while I'm lying in bed. - I don't want to walk today because I have some pain. - It might help me to listen to music while I'm lying in bed. - Listening to music is an effective nonpharmacological intervention for the management of mild pain. A home health nurse is performing a follow-up visit for a client who has a gastronomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of diarrhea? -The client is receiving formula at room temperature. -The feedings infuse at a slow, continuous drip over 8 hr each night. -The clients caregiver washes out the feeding bag with warm water once every 24 hr. -The clients caregiver flushes the tubing with water before and after administering medications. - The clients caregiver washes out the feeding bag with warm water once every 24 hr. -Feeding bags should be washed out after each feeding and replaced with a new feeding bag every 24 hr to prevent bacterial contamination. The nurse should reinforce this information with the clients caregiver to avoid future contamination. A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify the sequence in which the nurse should perform the following steps: - Obtain the pronouncement of death from the provider. - Remove tubes and indwelling lines. - Wash the clients body. - Place a name tag on the body. - Ask the client's family members if they would like to view the body. - The first step is to obtain the death pronouncement from the provider. Next, the nurse should remove tubes and indwelling lines prior to cleansing the client's body. After cleansing, the nurse should ask the family members if they wish to view the body. Finally, the nurse should place a name tag on the body before transfer. A nurse in a provider's office is assessing the deep tendon reflexes of a client. Which of the following images should the nurse identify as indicating the correct techniques for eliciting the client's patellar reflex?