ATI Fundamentals Retake| study exam questions and answers verified A+

ATI Fundamentals Retake| study exam questions and answers verified A+ATI Fundamentals Retake| study exam questions and answers verified A+ a nurse is evaluating a client's use of a cane -which of the following actions should the nurse identify as an indication of correct use? - correct answer--the client holds the cane on the stronger side of her body the nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. when the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hours -which of the following actions should the nurse take first? - correct answer--check the IV tubing for obstruction a nurse is caring for a client who requires an NG tube for stomach decompression -which of the following actions should the nurse take when inserting the NG tube? - correct answer--have the client take sips of water to promote insertion of the NG tube into the esophagus a nurse is reviewing a client's fluid and electrolyte status -which of the following findings should the nurse report to the provider? - correct answer--potassium 5.4 mEq/L a nurse is providing discharge instruction to a client who will be using a walker -which of the following client statements indicates an understanding of the teaching? - correct answer--"I will hire someone to trim the tree that hangs low over the stairs of my front porch" a nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia -which of the following tasks should the nurse assign to an assistive personnel (AP)? - correct answer--assist the client with a partial bed bath -measure the client's BP after the nurse administers an antihypertensive medication -use a communication board to ask what the client wants for lunch a nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer -which of the following actions should the nurse take? - correct answer--reassure the client that this is an expected response to grief a nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury -which of the following types of dressing should the nurse use? - correct answer--hydrocolloid a nurse is administering an otic medication to an older adult client -which of the following actions should the nurse take to ensure that the medication reaches the inner ear? - correct answer--press gently on the tragus of the client's ear a nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter -which of the following actions should the nurse take? - correct answer--subtract the amount of irrigate used from the client's urine output a nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant -which of the following precautions should the nurse plan for this client? - correct answer--make sure the client wears a mask when outside her room if there is construction in the area a nurse is planning strategies to manage time effectively for client care -which of the following strategies should the nurse implement? - correct answer--use the planning step of the nursing process to prioritize client care delivery a nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves -which of the following actions should the nurse take? - correct answer--make sure two fingers can fit under the sleeves a nurse is caring for a client who has a respiratory infection -which of the following techniques should the nurse use when performing nasotracheal suctioning for the client? - correct answer--apply intermittent suction when withdrawing the catheter a nurse is assessing a client who reports increased pain following physical therapy -which of the following questions should the nurse ask when assessing the quality of the client's pain? - correct answer--"is your pain sharp or dull?"