ATI Leadership NGN 2023/ 2024 New Update | Questions and Answers (Verified Answers)
QUESTION
Which interventions upon admission to the emergency unit
... [Show More] would be beneficial for the client who survived a lightning strike? Select all that apply. One, some, or all responses may be correct.
Administration of diphenhydramine Applying spinal immobilization technique Stabilization of ABCs—airway-breathing-circulation Applying ice packs in the axillae and groin
Rapid rewarming in a warm water bath
Strict fluid restrictions
Initiate acidification of the urine
Prepare for surgical fasciotomy
Answer: Applying spinal immobilization technique
Stabilization of ABCs—airway-breathing-circulation
QUESTION
Which priority nursing intervention would be appropriate for a client that presents with severe respiratory distress and only unilateral breath sounds following smoke inhalation during a fire? Select all that apply. One, some, or all responses may be correct.
Using the jaw-thrust maneuver Preparing to assist with intubation Removing or suctioning any foreign bodies
Performing bedside electrocardiogram (ECG) Obtaining needle thoracostomy and chest tube trays Inserting oropharyngeal or nasopharyngeal airway Initiating aggressive fluid hydration
Measuring arterial blood gases (ABGs)
Answer: Preparing to assist with intubation
Obtaining needle thoracostomy and chest tube trays
QUESTION
Which client would the medical-surgical nurse identify as appropriate for transfer or discharge to make room for admission of victims of a disaster? Select all that apply. One, some, or all responses may be correct.
68-year-old male on the third postoperative day since total knee replacement
30-year-old male receiving intravenous insulin for diabetic ketoacidosis
55-year-old female with bleeding esophageal varices receiving iced lavage
80-year-old male regulated on medication for transient ischemic attacks
72-year-old female beginning oral anticoagulant therapy for a deep vein throm- bosis
18-year-old male recovering from surgical repair of testicular torsion
29-year-old female who is 32-weeks pregnant with mild preeclampsia
43-year-old male who suffered a mild concussion from a vehicle accident
Answer: -
68-year-old male on the third postoperative day since total knee replacement
80-year-old male regulated on medication for transient ischemic attacks
72-year-old female beginning oral anticoagulant therapy for a deep vein thrombosis
18-year-old male recovering from surgical repair of testicular torsion
29-year-old female who is 32-weeks pregnant with mild preeclampsia
43-year-old male who suffered a mild concussion from a vehicle accident
QUESTION
There are eight clients in the emergency unit. Which client condition re- quires immediate treatment? Select all that apply. One, some, or all responses may be correct.
Skin rash
Unstable vital signs Severe abdominal pain Chest pain with diaphoresis
Multiple complex soft tissue injuries
Flu-like symptoms
Multiple insect bites to torso
Weakness on one side of the body
Answer: Unstable vital signs
Severe abdominal pain
Chest pain with diaphoresis
Weakness on one side of the body
QUESTION [Show Less]