ATI swift river simulation 2.0
(Hurricane relate clinical Make Up)
Exam Questions & Answers (Grade
A+)
The provider was in and replaced the operative dressing with a dry
gauze dressing. The chest wound is well approximated with staples
in place. A few small crusts of dried drainage are 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 tubing. A moderate amount of
drainage is noted on the dressing surrounding JP #2 -
correct answer ✅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.) -
correct answer ✅Elevate arm with a pillow
,ATI swift river simulation 2.0
(Hurricane relate clinical Make Up)
Exam Questions & Answers (Grade
A+)
Report any aching
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
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 stomach contents
visible in the tube and they do not want to 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.) -
correct answer ✅Encourage the client to continue to express their
feelings.
, ATI swift river simulation 2.0
(Hurricane relate clinical Make Up)
Exam Questions & Answers (Grade
A+)
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 on the side of the bed
and observed that wound dehiscence has occurred.
Which of the following actions should the nurse take? (Select all
that apply.) -
correct answer ✅Call for another nurse to contact the surgeon.
Apply a sterile saline dressing to the wound.
(Hurricane relate clinical Make Up)
Exam Questions & Answers (Grade
A+)
The provider was in and replaced the operative dressing with a dry
gauze dressing. The chest wound is well approximated with staples
in place. A few small crusts of dried drainage are 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 tubing. A moderate amount of
drainage is noted on the dressing surrounding JP #2 -
correct answer ✅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.) -
correct answer ✅Elevate arm with a pillow
,ATI swift river simulation 2.0
(Hurricane relate clinical Make Up)
Exam Questions & Answers (Grade
A+)
Report any aching
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
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 stomach contents
visible in the tube and they do not want to 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.) -
correct answer ✅Encourage the client to continue to express their
feelings.
, ATI swift river simulation 2.0
(Hurricane relate clinical Make Up)
Exam Questions & Answers (Grade
A+)
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 on the side of the bed
and observed that wound dehiscence has occurred.
Which of the following actions should the nurse take? (Select all
that apply.) -
correct answer ✅Call for another nurse to contact the surgeon.
Apply a sterile saline dressing to the wound.
