1
ATI swift river simulation 2.0
(Hurricane relate clinical Make Up)
Questions and Answers (100%
Correct Answers) Already Graded A+
The provider was in and replaced the operative dressing with a
© 2026 Assignment
dry gauze dressing. The chest wound is well approximated
with staples in place. A few small crusts of dried drainage are
Guru01 - Stuvia
noted along the incision. JP drain #1 is noted to be 3/4s full. JP
drain #2 is less than 1/4 full, with drainage noted in the
Expert
tubing. A moderate amount of drainage is noted on the
dressing surrounding JP #2 Ans: Squeeze and stretch the
tubing to the JP drains.
Have Virginia or their support person perform a return
demonstration of changing the JP dressing.
Teach Virginia how to empty the JP drains.
Empty and record the amount of fluid from collected each JP
drain.
Virginia is expressing concern about the possibility of
developing lymphedema in the future. "Can you tell me what
to do to prevent this from occurring?"
Which of the following instructions should the nurse include
when providing teaching for Virginia about lymphedema?
(Select all that apply.) Ans: Elevate arm with a pillow
Report any aching
, 2
Perform range of motion exercises
Ensure all into muscular injections are in that uninfected form
Ramona Stukes
1510: The nurse has just administered morphine 4 mg IV push
to the client. The client rated pain 5 on a scale of 0 to 10 in the
abdomen as burning. The nurse observes the client appears to
be upset and crying. The client states, "I came in for a simple
© 2026 Assignment
procedure and was supposed to go home the next day; it is
four days later and now I have this thing sticking out of my
nose." The client reports that they feel awkward with their
Guru01 - Stuvia
stomach contents visible in the tube and they do not want to
Expert
have visitors for that reason.
After listening to the client's concerns, which of the following
actions should the nurse take? (Select all that apply.) Ans:
Encourage the client to continue to express their feelings.
Discuss measures that can be taken to cover up the drainage
collection container
Acknowledge that the client may be experiencing the stages of
grief.
Ramona Stukes
1800: The client's partner comes to the nurses' station and
requests the nurse come to the client's room. They report the
client was eating ice chips and began coughing as if they were
choking and could not stop. After a few minutes of coughing,
their incision began bleeding and then it "opened up." After
entering the client's room, the nurse observes the client sitting
ATI swift river simulation 2.0
(Hurricane relate clinical Make Up)
Questions and Answers (100%
Correct Answers) Already Graded A+
The provider was in and replaced the operative dressing with a
© 2026 Assignment
dry gauze dressing. The chest wound is well approximated
with staples in place. A few small crusts of dried drainage are
Guru01 - Stuvia
noted along the incision. JP drain #1 is noted to be 3/4s full. JP
drain #2 is less than 1/4 full, with drainage noted in the
Expert
tubing. A moderate amount of drainage is noted on the
dressing surrounding JP #2 Ans: Squeeze and stretch the
tubing to the JP drains.
Have Virginia or their support person perform a return
demonstration of changing the JP dressing.
Teach Virginia how to empty the JP drains.
Empty and record the amount of fluid from collected each JP
drain.
Virginia is expressing concern about the possibility of
developing lymphedema in the future. "Can you tell me what
to do to prevent this from occurring?"
Which of the following instructions should the nurse include
when providing teaching for Virginia about lymphedema?
(Select all that apply.) Ans: Elevate arm with a pillow
Report any aching
, 2
Perform range of motion exercises
Ensure all into muscular injections are in that uninfected form
Ramona Stukes
1510: The nurse has just administered morphine 4 mg IV push
to the client. The client rated pain 5 on a scale of 0 to 10 in the
abdomen as burning. The nurse observes the client appears to
be upset and crying. The client states, "I came in for a simple
© 2026 Assignment
procedure and was supposed to go home the next day; it is
four days later and now I have this thing sticking out of my
nose." The client reports that they feel awkward with their
Guru01 - Stuvia
stomach contents visible in the tube and they do not want to
Expert
have visitors for that reason.
After listening to the client's concerns, which of the following
actions should the nurse take? (Select all that apply.) Ans:
Encourage the client to continue to express their feelings.
Discuss measures that can be taken to cover up the drainage
collection container
Acknowledge that the client may be experiencing the stages of
grief.
Ramona Stukes
1800: The client's partner comes to the nurses' station and
requests the nurse come to the client's room. They report the
client was eating ice chips and began coughing as if they were
choking and could not stop. After a few minutes of coughing,
their incision began bleeding and then it "opened up." After
entering the client's room, the nurse observes the client sitting
