ATI FUNDAMENTALS (dynamic quizzes)- 100% solved

ATI FUNDAMENTALS (dynamic quizzes)- 100% solved A nurse is discussing with a client who has a sudden onset of severe back pain from unknown origin. What question should the nurse ask to encourage discussion with the client? -Answer-"What do you think caused the onset of your pain?" A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the nurse discovers that the patient is unresponsive to verbal or painful stimuli, has no respirations, and is pulseless. What action should the nurse take first? -Answer- start chest compressions A nurse is admitting a client who has measles. What type of transmission-based precautions should be taken? -Answer-Airborne A nurse is providing teaching about crutches for a client with a fracture of the right foot. What instruction should the nurse include? -Answer-keep the rubber crutch tips securely in place A nurse manager is providing training to a group of newly licensed nurses about ways that clients acquire healthcare-related infections. Which route of infection should the nurse as iatrogenic? -Answer-infection acquired from a diagnostic procedure A nurse is performing a straight catheterization of a female client who has urinary retention. Which action indicates the nurse is following sterile technique? -Answer- wiping the labia minora in an anteroposterior direction A nurse is caring for a client who is set to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The client asks how the TENS unit helps relieve pain. How should the nurse respond? -Answer-it modulates the transmission of the pain impulse A nurse is administering medication to a client that asks the nurse to leave the medication at the bedside to be taken at a later time. How should the nurse respond? - Answer-"Call me when you are ready, and I will return with the medication." A nurse is caring for a client who has a C-diff infection and is in contact isolation. What action should the nurse take? -Answer-Wear gloved when changing the client's gown A nurse is assessing a client who has deep, rapid respirations. Arterial blood gas values: ph- 7.25, PaCO2- 40, HCO3- 18. Which acid-base imbalance should the nurse identify and report to the provider? -Answer-Metabolic acidosis A nurse is caring for a client who has Type 1 Diabetes Mellites and is resistant to learning how to self-inject insulin. Which statement should the nurse make? -Answer- "Tell me how I can help you overcome your fear of self-injections" A nurse is caring for a client who is immobile. The nurse should recognize that immobility puts the client at risk for what health alteration? -Answer-decreased cardiac output A nurse is preparing to instill a vaginal medication in suppository form to a client. Which action should the nurse take during this procedure? -Answer-use the index finger to insert the suppository A nurse is caring for a group of clients in a long-term care facility. The nurse should admit that which client is eligible for hospice services? -Answer-A client who has end- stage cirrhosis A nurse is caring for an adult client who has an unmet spiritual need. Which of the following statements should indicate to the nurse that the client is in spiritual distress? - Answer-"God is punishing me for something." A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. The specific gravity of the client's urine is 1.035. Which action should the nurse take? -Answer-Provide more water with feedings A nurse is collecting a capillary blood sample to determine a client's blood glucose level. The nurse prepares and punctures the client's finger but does not collect enough blood for the sample. Which action should the nurse take? -Answer-Wash the client's finger in a warm washcloth A nurse is measuring a client's vital signs. The client's heart rate is 105 bpm. How should the nurse document this finding? -Answer-tachycardic A nurse is caring for a client who has injuries from a motor-vehicle crash. What statement should the nurse address first? -Answer-"I can't sleep well because whenever I fall asleep, the pain wakes me back up." A nurse is assessing a client who is experiencing stress and anxiety regarding a recent diagnosis. What finding should the nurse expect? -Answer-increased blood pressure A nurse is preparing to administer an intramuscular injection to a client who is overweight. What site should the nurse choose for this injection? -Answer-side hip between iliac crest and anterior iliac spine A nurse is assessing a client's incision and notes the color to be blood-tinged. Which term should the nurse use to document this drainage? -Answer-sanguineous A nurse is monitoring a client's labs. What is an example of an abnormal lab value? - Answer-Potassium level of 3.0