ATI CBC Exam 3 |2024 Release| Verified Q&A

ATI CBC Exam 3 |2024 Release| Verified Q&A A nurse is caring for a client who is scheduled to undergo ECT. The provider has explained the procedure to the client. Which of the following statements made by the client indicates a need for further teaching? *Ans* This procedure can increase my risk for developing Parkinson's There has been a massive community disaster and stable clients must be discharged from the hospital to prepare for the influx of new casualties. Which of the following clients is safe to discharge? *Ans* A client with multiple sclerosis who reports ataxia A nurse is providing discharge teaching to a client and family members following an admission for a seizure disorder. Which of the following actions should the nurse instruct the family members to take if the client experiences a seizure? *Ans* Loosen constricting clothing A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? *Ans* The pain is like a dull ache in my stomach. A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as therapeutic outcome? *Ans* Decrease in flexor and extensor spasticity A client recently diagnosed with bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, "That man in my room never sleeps and he keeps me up, too." Which of the following is an appropriate intervention for the nurse to take? *Ans* Move the client who has bipolar disorder to a private room. The nurse is assisting a group of clients to identify skin cancer-related risk factors that can be reduced. Which of the following is an appropriate health behavior change? *Ans* Wearing a wide-brim hat while gardening. An older adult client is to receive an annual influenza vaccine. While preparing the client for this immunization, the nurse should ask the client if he has a hypersensitivity to which of the following? *Ans* Eggs Which of the following nursing interventions is helpful in establishing trust in the initial phase of a nurse-client relationship? *Ans* Discussing the boundaries of the relationship with the client. A nurse is assessing a client who is diagnosed with rheumatoid arthritis. Which of the following nonpharmacologic interventions should the nurse suggest to a client to reduce pain? *Ans* Alternate application of heat and cold A nurse is watching an assistive personnel empty a postsurgical client's Jackson-Pratt drain. Which of the following indicates that the AP needs further instruction on this procedure? *Ans* The AP puts on sterile gloves beore performing the procedure. A nurse is caring for a child who has experienced a generalized seizure. During the postictal period, which of the following actions should the nurse take? *Ans* Document the time until the child is fully awake A client who has systemic lupus erythematosus presents to the clinic. Which of the following findings should be reported to the primary care provider? *Ans* Increase in heart rate 25/min above baseline. A nurse is educating a client who is at 30 weeks of gestation regarding a 3-hr oral glucose tolerance test. Which of the following should the nurse include in her teaching? *Ans* Consume 150 g of carbs for 3 days prior A nurse is moving into the role of a hospic nurse. She recognizes that when she is working with clients in the community, the collaborative process for hospice care begins in the hospital with *Ans* The dischage planner A nurse is assessing a young adult client in a women's health clinic who asks for a contraceptive. The client reports to the nurse a familial history of osteoporosis. Which of the following contraceptive methods is contraindicated for this client? *Ans* Medroxyprogesterone acetate A community health nurse is asked to give a health education program to a group of AfricanAmerican men age 40 to 75. Considering the health concerns for this group, which of the following topics is most important to include in the program? *Ans* Prostate cancer screening A nurse is caring for an older adult client. The client received 0.9% NaCl 1 L over 4 hr insted of over 8 hr as prescribed. Which of the following entries is the appropriate documentation of this occurrence in the client's medical record? *Ans* 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable A nurse is caring for a child who was just admitted from the ER with a head injury. The child had two episodes of vomiting while in the ER, responds to name, but easily falls back to sleep. Which of the following are appropriate interventions? *Ans* Apply O2 at 2L/min via nasal cannula Administer NPO