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Examen

ATI Skills Test My notes Questions and Correct Answers

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You have selected the correct response. Swallowing, especially by sipping water, closes the epiglottis over the trachea and thus helps direct the tube to the esophagus rather than to the airways. To determine the length of tube that will achieve the proper insertion depth, you ~ use the tube to measure the distance from the patient's naris to his ear lobe to the tip of his xiphoid process. To minimize the risk of trauma and discomfort for the patient when removing the NG tube, you... slowly rotate the tube 180 degrees while pulling back on it. using the pull-pause method to remove the tubing gradually. fold the tube onto itself while quickly pulling back on it. ~ fold the tube onto itself while quickly pulling back on it. You have selected the correct response. Folding the tube prevents tube contents from draining into the patient's oropharynx. Quick removal minimizes discomfort. To regulate the flow of the enteral formula through the NG tube, you open the tubing and ~ raise the syringe to a height no greater than 18 inches above the patient's head. True or false: A paralyric ileus is contraindicated for a NG tube feeding ~ Tru

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ATI Skills Test My notes Questions
and Correct Answers

When grabbing a cane, a client should place it on _______ side.

✓✓~ Unaffected




A client is rising to a standing position using a cane...

True or false: Upon rising he or she should have the unaffected hand on the cane

and the affected hand on the bed or bed rail to push up.

✓✓~ True




True or false: The client should place the cane on her unaffected side 9-12 inches in

front of her.

✓✓~ False: the client should place the cane 6-12 inches in front of his or her body.




When ambulating a client using a cane, the nurse should stand on which side?

✓✓~ The affected side




When ambulating with a cane, the client should move which side first?

✓✓~ Affected leg- should be move forward to be even or meet with the cane




True or false: When ambulating with a cane the client moves the unaffected leg first.

, ✓✓~ False- After moving the affected leg forward, the client shifts weight to the unaffected leg
and cane. Then advance the unaffected leg in front of the cane.




Name the steps in which a client will walk with a cane.

✓✓~ 1. With the cane 6-12 inches in front of client, he or she moves the affected side to be even
with the cane.
2. Client shifts weight to the unaffected side and the cane.

3. Client advances the unaffected side in front of the cane.

4. Client moves the cane froward




*Repeat the steps in a cycle.




When a client is rising with two crutches, how does she stand?

✓✓~ Client should place both crutches on the unaffected side while the other hand is on the bed
rail to push up. Next, place a crutch under each arm. Then move the crutches 6 inches to the side
and 6 inches forward to create crutch stance.




Basically client repeats these steps when sitting such as moving the crutches to

unaffected side and holding onto bed rail.




Also remember crutches should never put pressure on axillae and elbows should be

bent to 30 degrees.

,4 Point gait (partial weight bearing): Think all four points touch the floor. Think all 4

points line up.

✓✓~ 1. Move right crutch forward (6-10 inches)

2. Move left foot forward to meet left crutch

3. Move right foot forward to meet right crutch

4. Move right crutch forward

5. Repeat cycle




**Numbers are different 6-12 inches in front or 6-10 inches but remember around this

range.




3 point gait: (Pt cannot bear wt on one leg): 3 points on the ground

✓✓~ 1. Move both crutches forward with weight on unaffected leg

2. Move unaffected leg forward shifting weight to the crutches

3. Repeat cycle




2 point gait: (partial wt bearing on both legs but needs less support than the 4 point

gait).

Think like 2 different points.

✓✓~ 1. Move leg foot and right crutch at same time

2. Move right crutch and left foot at same time

3. Repeat cycle

, Swing to gait (bear wt on both legs = stability and arm strength)

✓✓~ 1. Move both crutches forward

2. Lift both legs and swing forward next to crutches

3. Repeat cycle




Swing-Through gait (bear wt on both legs w/good arm and shoulder strength)

✓✓~ 1. Move crutches forward

2. Lift feet and wing through crutches w/feet in front of crutches

3. Repeat cycle




When ambulating the client which side does the nurse stand on?

✓✓~ Affected side




Client rises by placing a hand on the bed rail and the other on the bed..

True or false: After grasping the walker, client moves unaffected leg with the walker.

✓✓~ False: Client moves the affected leg with the walker




Then she advances the unaffected leg to meet walker and opposite leg.




Mechanical lift

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Subido en
12 de agosto de 2024
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