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A nurse is providing teaching to a client who is post-
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operative following apartial glossectomy. Which of the following statement
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s by the client indicates an understanding of the teaching? P 601 MS ATI P
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DF 10.0 d
a. I will consume can soup whenever sores appear in my mouth
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b. I will drink orange juice to increase my vitamin C intake-
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d NO ACIDIC stuffin the mouth
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c. I will rinse my toothbrush with hydrogen peroxide and water aftere
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ach use- ONLY RINSE WITH NS SOLUTION
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d. I will inspect my mouth once each week for sores.
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A nurse is performing an ear irrigation for a client. Which of the foll
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owing actions should the nurse take?
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a. tilt the client's head 45 degrees
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b. Insert the tip of the syringe to .5 centimeters 1 inch into the ear canal
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c. Point the tip of the syringe toward the top of the ear canal
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d. Use cool fluid for irrigation
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A nurse is caring for a client who is receiving continuous bladder irrigation follo
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wing a transurethral resection of the prostate (TURP). The client reports sharp l
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ower abdominal pain. Which of the following actions should the nurse take first
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ATI RN MEDSURG 2022/2023 PROCTORED EXA
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? Page 426 MS ATI PDF 10.0
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a. Check the client's urine output d d d d
b. Reposition the client in bed d d d d
c. Increase the client's fluid intake d d d d
d. administer PRN pain medication d d d
A nurse is providing teaching for a client who has diabetes mellitus about the self
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administration of insulin. The client has prescriptions for regular and NPHinsuli
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n. Which of the following statements by the client indicates an understanding of t
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he teaching?
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a. I will draw up regular insulin into the syringe first- yup! Clear to cloudy
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b. I will insert the needle at a 15 degree angle - 45 degree
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c.I will store prefilled syringes in the refrigerator with the needle pointingd
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ownward
d.I will shake the NPH vial vigorously before drawing up the insulin= you canon
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ly roll it to mix it
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, A nurse is caring for a client who is receiving Total parenteral Nutrition
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(TPN). which of the following nursing actions are appropriate? (Select allthe a
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pply)
a.Obtain the client's weight daily d d d d
b.Increase the rate of infusion if Administration is delayed -
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never ever do thisbecause doing this will alter blood glucose significantly . it sa
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ys so in the bright yellow box on mage 298. Also HYPERGLYCEMIA can hap
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pen if youdo. d d d
c.Monitor serum blood glucose during infusion - d d d d d d
d book says check glucoselevel every 4 -6 hours for at least 24 hours
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d.In to use 0.9% sodium chloride if the solution is not available -
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d it says haveD5 10 % since that is needed in case to prevent hypoglycemia.
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e.Verify the solution with another RN prior to infusion
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A nurse is caring for a client in diabetic ketoacidosis dka. Whic
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h of the following is the priority intervention by the nurse?
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PAGE 538 ati pdf 10.0 d d d d
a. Check potassium levels d d
b. Administer 0.9% sodium chloride - d d d d
d always treat underlying cause which is done by giving rapid isot
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onic fluid replacement so you can Maintain perfusion to vital or
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gans.
c. Begin bicarbonate continuous IV infusion d d d d
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, d. Initiate continuous IV insulin infusion
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A nurse is reviewing the laboratory results of a female client who askedab
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out acupuncture treatment for chemotherapy-
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induced nausea and vomiting. Which of the following laboratory results indi
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cation to receivingacupuncture?
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A. Absolute
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neutrophil count d d
500/mm3
B. C-reactive protein 0.7 mg/dl
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C. platelets 16
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0000/mm3 D. d
Hemoglobin12 d
d /dl
nurse is assessing a client who is 12hr postoperative following ac
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olon resection. Which of the following findings should the nurse rep
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ort to the surgeon?
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1. Heart rate 90/min d d
2. Absent bowel sounds → normal findings after major bowel surgery;t
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akes several days to return to normal.
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3. Hgb 8.2 g/dl d d
4. Gastric pH of 3.0 d d d
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