ATI CAPSTONE FUNDAMENTALS

ATI CAPSTONE FUNDAMENTALS a nurse is completing a nutritional assessment on a client and measures BMI, which of the following readings correlates with a BMI of an overweight client? - correct answer -25 (25-29.9) a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the following pH values provides a good indication of correct tube placement? - correct answer -2 (pH between 0-4) a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should the nurse do first? - correct answer -recheck the clients BP (reassess prior to any intervention) a nurse is discussing immunity with a client who has received an immunization, the nurse should identify that an immunization functions as part of which of the following types of immunity? - correct answer -acquired immunity (artificial/acquired immunity occurs when antigens from toxoids or immunizations are ADMINISTERED to a client, once in the body, the stimulate the production of antibodies) a community health nurse is teaching a group of clients about first aid for different types of wounds. which of the following client statements indicates an understanding of the teaching? - correct answer -i should apply clean dressings over the top of blood saturated dressings and hold pressure (to prevent disruption of wound tissue) a nurse is sitting with the partner of a client who recently died. which of the following actions should the nurse take to facilitate mourning? - correct answer -encourage the partner to ask for help when needed a nurse is caring for a pt who is scheduled for a cataract surgery, the client states "is see just fine and have decided to cancel my surgery". which of the following responses should the nurse make? - correct answer -share with me more about the thoughts that are concerning yo