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ATI rn fundamentals online practice 2023 b| Questions and Answers, 100% Correct| Updated 2024

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ATI rn fundamentals online practice 2023 b| Questions and Answers, 100% Correct| Updated 2024

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Subido en
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ATI rn fundamentals online practice 2023 b| Questions and Answers, 100% Correct| Updated 2024 A nurse is planning teaching for a group of adolescents who each recently had a surgical placement of an ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning? a. Role play b. Group discu ssions c. Question -answer meetings d. Practice sessions - ✔✔ ANSW✔✔ d Practice sessions require psychomotor skills when learning. A nurse is planning to insert a purple IV catheter for an older adult client. Which of the following action should the nurse pl an to take? a. Insert the catheter at a 45° angle. b. Place the client's arm in a dependent position. c. Shave excess hair from the insertion site. d. Initiate IV therapy in the veins of the hand. - ✔✔ ANSW✔✔ b The nurse should place the client's arm in a de pendent position because the veins will dilate due to gravity. A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep -vein thrombosis. The prescription reads 25,000 units of heparin in 0.9% sodium chloride 250 mL t o infuse at 800 units/hr. At what rate should the nurse at the infusion pump? (round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ✔✔ ANSW✔✔ 8ml/hr A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. which of the following actions should the nurse take? a. Ask another nurse to observe the medication wastage. b. Notify the pharmacy when wasting the medication . c. Lock the remaining medication in the controlled substances cabinet. d. Dispose of the vial with the remaining medication in a sharps container. - ✔✔ ANSW✔✔ a A second nurse must witness the disposal of any portion of a dose of a controlled substance. A nurse is preparing to insert an IV catheter into a clients arm prior to initiating IV fluid therapy. Which of the following intervention should the nurse implement to prevent infection? a. Apply transparent dressing over the IV insertion site and securem ent device. b. Shave excess hair from around the IV insertion site. c. Cleanse the site with hydrogen peroxide before IV catheter insertion. d. Palpate the site carefully just before inserting the IV catheter. - ✔✔ ANSW✔✔ a Transparent dressing prevents infe ction by protecting the IV site. A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next? a. Rock the client up to a sta nding position. b. Pivot on the foot that is the farthest from the chair. c. Assess the client for orthostatic hypotension. d. Apply a gait belt to the client. - ✔✔ ANSW✔✔ c The first action the nurse should take when using the nursing process is to assess t he client. The nurse should determine the client's risk for falling or fainting during the transfer by assisting the client to sit and dangle the feet on the side of the bed. The nurse should assess for dizziness and a significant drop in blood pressure be fore assisting the client to stand and transfer into the chair. A nurse is providing discharge instructions to a client who will be using a walker. Which of the following statements by the client indicates that he has been effective? a. "I will use an ext ension cord so I can watch television in the living room." b. "I will hire someone to trim the tree that overhangs the front porch stairs." c. "I will place my alarm clock on my bedroom dresser." d. "I will replace the old throw rug in the kitchen with a n ew one." - ✔✔ ANSW✔✔ b Clearing stairwells of any object that could cause the client to trip or the need to bend over will decrease the risk for falls. A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concent rator. Which of the following instructions should the nurse provide to the client and their family? (select all that apply.) a. Check the cord routinely for frays or tearing. b. Keep the unit at least 1.2 m (4 ft) away from a gas stove. c. Consider purchas ing a generator for power backup. d. Observe for signs of hypoxia. e. Select synthetic clothing and bedding. - ✔✔ ANSW✔✔ a, c, d Check the cord routinely for frays or tearing is correct. Oxygen concentrators require electrical power. Safe use of this deliver y system includes assessing the electrical function of the device; therefore, the nurse should instruct the client to routinely check the condition of the cord.Keep the unit at least 1.2 m (4 ft) away from a gas stove is incorrect. Safe use of home oxygen equipment includes keeping the unit at least 3.05 m (10 feet) away from open flames, such as from a fireplace or a gas stove, and at least 2.4 m (8 feet) away from other heat sources.Consider purchasing a generator for power backup is correct. Loss of elec tricity prevents the oxygen concentrator from functioning and could deprive the client of necessary oxygen. The nurse should also instruct the family to have the client placed on their municipality's priority list for restoring power after an outage occurs .Observe for signs of hypoxia is correct. The nurse should instruct the family to observe for and report signs of hypoxia, such as anxiety, worsening fatigue, dizziness, rapid pulse and respirations, pallor, and cyanosis. Even with supplemental oxygen, the client's status can worsen, resulting in the development of hypoxia.Select synthetic clothing and bedding is incorrect. Safe use of oxygen therapy includes choosing clothing and bedding made from
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