Ati Rn Comprehensive predictor 2020 form c

A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take? • Shave hairy areas of skin prior to application (apply to hairless, clean &dry areas to promote absorption; avoid oily or broken skin) • Wear gloves to apply the patch to the client’s skin • Apply the patch within 1 hr of removing it from the protective pouch(apply immediately) • Remove the previous patch and place it in a tissue (fold patch in half with sticky sides pressed together) • A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first? • A client who was just given a glass of orange juice for a low blood glucose level • A client who is schedule for a procedure in 1 hr (can wait) • A client who has 100 mL fluid remaining in his IV bag (can wait) • A client who received a pain medication 30 min ago for postoperative pain • A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? • A history of gastroesophageal reflux disease • Receiving a high osmolarity formula • Sitting in a high-Fowler’s position during the feeding • A residual of 65 mL 1hr postprandial • A charge nurse is teaching new staff members about factors that increase a client’s risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence? • Experiencing delusions • Male gender •