ATI RN Comprehensive Practice A 2023 NGN

ATI RN Comprehensive Practice A 2023 NGN A nurse is caring for a client who is 1 hr postpartum. Select 6 actions the nurse should take. - -Administer oxygen -Insert an indwelling catheter -Provide emotional support -Weigh the perineal pads -Administer methylergonovine -Firmly massage the uterine fundus A nurse is caring for a client who is 4 hr postpartum and has a boggy uterus with heavy lochia. Which of the following actions should the nurse take first? Administer oxygen Initiate an infusion of oxytocin Massage the uterus to expel clots Obtain CBC - Massage the uterus to expel clots A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for high-frequency chest compression vest in response to which of the following parent statements? "My child doesn't like to sit still for nebulizer treatments." "I think that my child has been running a fever over the last couple of days." "My child has only a small amount of mucus after percussion therapy." "I am concerned about my child's future participation in team sports." - "My child has only a small amount of mucus after percussion therapy." A nurse is caring for a client who is in the fourth stage of labor and is receiving oxytocin via continuous IV infusion. Which of the following assessments is the nurses priority? Amount of vaginal bleeding Amount of urinary output Pain level Fundal height - Amount of vaginal bleeding A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider? Obtain capillary blood glucose level every 2 hr. Check the neurovascular status of the client's lower extremities every hour. Apply a cold pack to the client's ankle for 30 min every hour. Maintain the affected ankle elevated and immobilized. - Apply a cold pack to the client's ankle for 30 min every hour. A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse report to the provider? Slightly blue hands and feet Respiratory rate 40/min Axillary temperature 36.2C (97.2F) Apical pulse 136/min - Axillary temperature 36.2C (97.2F) A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord injury. Drag 1 condition and 1 client finding to fill in the blank in the following sentence. The client is at risk for developing ____ due to ____. - The client is at risk for developing HEMORRHAGIC STROKE due to AUTONOMIC DYSREFLEXIA. A nurse is caring for a school-age child. For each assessment finding, click to specify if the finding is consistent with attention deficit hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1 disease process. - ADHD- Hyperreactivity to sensory input, Interrupting others, Losing necessary things, Intellectual impairment ID- Impaired language skills, Intellectual impairment A nurse is caring for a newly admitted client. Select 2 findings that require immediate follow-up. - Hemoglobin Platelet count A nurse is caring for a newborn. Complete the following sentence by using the list of options. The nurse should plan to first assess the newborn's ______followed by the newborn's_______. - The nurse should plan to first assess the newborn's RESPIRATORY RATE followed by the newborn's HEART RATE. A nurse is caring for a client who is 24 hr postoperative following a cesarean birth. Drag 1 condition and 1 client finding to fill in the blank in the following sentence. The client is at risk for developing ____ as evidenced by _____. - The client is at risk for developing SEIZURES as evidenced by BLOOD PRESSURE. A nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Complete the diagram. - Potential condition: Varicose veins Actions to take: Elevate the extremity Apply graduated compression stockings Parameters to monitor: Edema of right lower extremity Pruritis of right lower extremity A nurse on a mental health unit is caring for a client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated. - Anticipated: Initiate suicide precautions Potassium 40 mEq PO daily Contraindicated: Low-sodium diet Fluoxetine 20 mg PO daily