ATI Fundamentals Exam Study Guide with Questions and Answers

ATI Fundamentals Exam Study Guide with Questions and Answers A nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? A. Bladder distention B. Decreased Blood pressure C. Calf swelling D. Diminished bowel sounds ANSWER C. Calf swelling Explanation: Swelling, redness, and tenderness in a calf muscle are manifestations of thrombophlebitis, a common complication of immobility. 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? A. Press gently on the tragus of the client's ear B. Pack a small piece of cotton deep into the client's ear canal C. Move the client's auricle down and back toward her head D. Tilt the client's head back for 5 min. ANSWER A. Press gently on the tragus of the client's ear Explanation: Pressing gently on the tragus of the ear will help the medication get into the inner ear.