ATI COMPREHENSIVE FUNDAMENTALS GUIDE 2019

ATI COMPREHENSIVE FUNDAMENTALS GUIDE 2019 Verified Questions & Answers 1. A nurse is caring for a client who is at 33 weeks gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? a. contractions b. Hypertention c. Epigastric pain d. vomiting Answer: a. Contraction Rational: Amniocentesis -Can't be done before 16 weeks, not enough amniotic fluid. -maternal risks: hemorrhage, feto maternal hemorrhage, infection, contractions/labor, abruptio placentae, damage to intestines or bladder, amniotic fluid embolism -fetal risks: death, hemorrhage, infection, direct injury from the needle, miscarriage, and preterm, leakage of amniotic fluid 2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? a. Stay in bed at least 1 hr if unable to fall asleep. b. Take a 1 hr nap during the day c. Perform exercises prior to bedtime d. Eat a light snack before bedtime Answer:D. Eat a light snack before bedtime Rational:Consume a light snack of carbohydrates at bedtime 3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tachycardia. Which of the following actions should the nurse first take determining the client does not have a palpable pulse? a. Assess heart sounds b. Defibrillate c. Establish IV access d. Administer Epinephrine Answer:B. Defibrillate Rational: The nurse needs to assess the client to determine stability before proceeding with further interventions. If the client has a pulse and is relatively stable, elective cardioversion or antidysrhythmic medications may be prescribed. The drug of choice for stable ventricular tachycardia with a pulse is amiodarone. If the client is pulseless or nonresponsive, the client is unstable and defibrillation is use