ATI RN Comprehensive Predictor Latest Update 2024 Graded A+
A nurse is preparing to initiate intravenous fluids via an infusion pump for a client.
... [Show More] Which of the following actions should the nurse take? - CORRECT ANSWER-Check the expiration date of the safety inspection sticker of the pump.
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port? - CORRECT ANSWER-A non-coring needle
A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement, and the nurse offers a bedpan. The client states, "I've always used the bathroom." Which of the following responses should the nurse make? - CORRECT ANSWER-"Tell me what concerns you have about using a bedpan."
A nurse is providing an in service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first? - CORRECT ANSWER-A client who is ambulatory and receiving oxygen.
A nurse is assessing a client who has a possible right pneumothorax. Which of the following findings should the nurse expect? - CORRECT ANSWER-Reduced right-side breath sounds
A nurse is caring for a client who is postoperative following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure? - CORRECT ANSWER-Right lateral
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender? - CORRECT ANSWER-The client has a history of asthma
The nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications? - CORRECT ANSWER-Vitamin B12
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department. Which of the following actions should the nurse include when teaching about interacting with a client who is aggressive pacing and speaking loudly? - CORRECT ANSWER-Tell the client, "you seem to be very upset"
A nurse is teaching a client about family planning using the basal body temperature method. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER-Take your temperature immediately after waking and before getting out of bed
A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hr ago. Which of the following findings indicate a positive test? - CORRECT ANSWER-An induration measuring 10 mm
A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect? - CORRECT ANSWER-Crackles in lungs
A nurse is assessing a client who received hydromorphone 4 mg IV 15 minutes ago. The client has a respiratory rate of 10 b/m. The nurse should prepare to administer which of the following medications? - CORRECT ANSWER-Naloxone
A nurse is planning care for a school aged child who is 4 hours postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER-Administer analgesics on scheduled basis for 24 hours
A nurse is caring for a client whose child died from cancer. The client states it's hard to go on without him. Which of the following questions should the nurse ask the client first? - CORRECT ANSWER-"Are you thinking about ending your life?"
A nurse is teaching a client about advanced directives. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER-A living will is a document that includes my wishes about healthcare decisions
A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? - CORRECT ANSWER-Swelling of the face
The nurse is providing discharge instructions to a client who has a new prescription of haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider? - CORRECT ANSWER-Shuffling gait
A charged nurse is monitoring a newly licensed nurse who was caring for a client who was receiving total parenteral nutrition (TPN). Which of the following assessments by the newly licensed nurse indicate an understanding of the procedure? - CORRECT ANSWER-"I will hang a new bag of TPN and IV tubing every 24 hrs"
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100 b/m for the past 15 minutes. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia? - CORRECT ANSWER-Maternal Hypoglycemia
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect? - CORRECT ANSWER-Self-centered behaviors
A nurse in an emergency department is caring for a three-year old child who has suspected epiglottitis. Which of the following actions should the nurse take? - CORRECT ANSWER-Prepare to assist in intubation
In nurses teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect? - CORRECT ANSWER-Folate
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is a priority for the nurse to report to the provider? - CORRECT ANSWER-Dyspnea
A nurse is performing a neurological examination on the client as a part of a complete physical assessment. The nurse should identify the cranial nerve XI is intact when the client performs which of the following actions? - CORRECT ANSWER-Shrugs his shoulders
A nurse is preparing to admit a six year old with varicella to the pediatric unit. Which of the following actions should the nurse take? - CORRECT ANSWER-Assign the child to a negative air pressure room
A charge nurse is teaching a newly licensed nurse about medication administration, which of the following information should the nurse include? - CORRECT ANSWER-Inform client about the action of each medication prior to administering
A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively? - CORRECT ANSWER-Determine goals for the day
A nurse is inserting an indwelling catheter for a male client. Which of the following actions should the nurse take? - CORRECT ANSWER-Lift the penis so that it is perpendicular to the client's body
A nurse is caring for a client who has severe hypertension and is to receive Nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? - CORRECT ANSWER-Protect the IV bag from exposure to light
A Hospice nurse is visiting with a son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? - CORRECT ANSWER-I can give you information about respite care if you are interested.
A nurse is speaking with a caregiver of a client who has Alzheimer's disease. The caregiver states providing constant care is very stressful and is affecting all areas of my life. Which of the following actions should the nurse take? - CORRECT ANSWER-Assist the caregiver to arrange for day care program for the client.
A nurse and assistive personnel AP are assigned to a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse? - CORRECT ANSWER-A client who has a prescription for compression stockings and did not receive them
A nurse planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the clients nutritional requirements? - CORRECT ANSWER-Keep a calorie count for foods and beverages
A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia. Which of the following actions should the nurse take? - CORRECT ANSWER-Provided the client with cold foods rather than hot foods
A nurse is teaching dietary guidelines to the client who has celiac disease. Which of the following food choices is appropriate for this client? - CORRECT ANSWER-Potato pancakes
A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take? - CORRECT ANSWER-Obtain the specimen immediately upon the client waking up
A nurse is planning teaching for a client who has a newly implanted implantable cardioverter/defibrillator. Which of the following information should the nurse include? - CORRECT ANSWER-Wear loose fitting clothing
A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take? - CORRECT ANSWER-Keep the client on NPO status
A community health nurse is working with a family that is struggling to adapt following the loss of a family member. Which of the following actions should the nurse take first? - CORRECT ANSWER-Determine the roles of individual family members
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine. Which of the following laboratory values should the nurse monitor? - CORRECT ANSWER-Liver function test
A nurse is teaching a prenatal class about infection prevention at the Community Center. Which of the following statements by a client indicates an understanding of the teaching? - CORRECT ANSWER-I can visit my nephew who has chicken pox five days after the sores have crusted
My home health nurse is planning care for a client who has Alzheimer's Disease. Which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER-Place locks at the top of exterior doors
A nurse is caring for a client who is receiving brachytherapy for endometrial cancer. Which of the following actions should the nurse take? - CORRECT ANSWER-Keep visitors at least six feet away from the clients
A nurse enters a client's room and sees a small fire in the client's bedroom. Identify the sequence of steps the nurse should take. - CORRECT ANSWER- the client to another area of the nursing unit Transport
activate the facilities fire alarm system
close all the nearby windows and doors
use the units fire extinguisher to attempt to put out the fire
A nurse is discussing discharge plans with an older adult client who lives alone and has left sided weakness following a stroke. Which of the following information is a priority for the nurse to discuss? - CORRECT ANSWER-Obtain an alert system to get help in case of a fall
A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms. Which of the following statements should the nurse make? - CORRECT ANSWER-When using implanted contraceptive methods condom should also be used to protect against STDs.
A nurse is assessing the fontanelles of an 8 month old infant. Which of the following findings should the nurse recognize as an expected finding? - CORRECT ANSWER-The anterior fontanelle is open
A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use? - CORRECT ANSWER-Axillary
A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority? - CORRECT ANSWER-Dysphagia
A nurse is assessing a client who has type one diabetes mellitus and was administered insulin lispro one hour ago. Which of the following manifestations indicates that the client might be experiencing hypoglycemia? - CORRECT ANSWER-Confusion
A nurse is preparing an in service for a group of nurses about malpractice insurance and nursing. Which of the following examples should the nurse include in the teaching as an example of malpractice? - CORRECT ANSWER-Administering potassium via IV bolus
A nurse is admitting a client to a medical surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take? - CORRECT ANSWER-Compare new prescriptions with the list of medications the client reports
A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage? - CORRECT ANSWER-Use an albuterol inhaler
A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase? - CORRECT ANSWER-We should establish our roles in the initial session
A nurse manager is planning a staff in service to address advocacy in client care. The nurse should promote which of the following practices during the in service? SATA - CORRECT ANSWER-Encouraging clients to seek further information from the provider
Addressing client needs when providing resources
Promoting health care access
A nurse is implementing seizure precautions for a client who has had a tonic clonic seizure. Which of the following interventions should the nurse include in the plan of care? - CORRECT ANSWER-Insert an IV saline lock
A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care? - CORRECT ANSWER-Use water with no soap to prevent skin irritation
A nurse is reviewing the medical history of a client who asks about the use of warfarin. The nurse should identify which of the following findings as a contraindication for administration of this medication? - CORRECT ANSWER-Recent eye surgery
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among the staff caring for the client? - CORRECT ANSWER-Having interdisciplinary team meetings for the client on a regular basis
The nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure? - CORRECT ANSWER-Obtain a CBC with differential
A nurse is caring for a client who has a new diagnosis of chlamydia trachomatis. Which of the following actions should the nurse take? - CORRECT ANSWER-Report the infection to the state Department of Health
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first? - CORRECT ANSWER-A client who is taking clozapine to treat schizophrenia and report a sore throat
A nurse is receiving a change of shift report for a group of clients. Which of the following clients should the nurse plan to assist first? - CORRECT ANSWER-A client who has a hip fracture and a new onset of tachypnea
A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism? - CORRECT ANSWER-Since I retired, i have entered many gardening competitions
A nurse is assessing the client who has a chest tube with a water seal drainage system. Upon assessment the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling? - CORRECT ANSWER-The system is working properly
A nurse is teaching a group of school age children about healthy snack options. Which of the following snacks should the nurse include? - CORRECT ANSWER-Air popped popcorn
The nurse is teaching a client who is pregnant and has genital herpes simplex virus (HSV). Which of the following statements should the nurse include in the teaching? - CORRECT ANSWER-You will need to have a cesarean birth if there are any visible lesions
A nurse is caring for a client who has a stool culture that is positive for C. Diff. Which of the following infection control precautions should the nurse take? - CORRECT ANSWER-Remove the protective gown while in the clients room
A nurse is providing preoperative teaching to a client about the administration of morphine via PCA pump. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER-I will receive a limited amount of pain medication when i press the button
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strip shows a wavy baseline, no distinguishable P waves, and an increased heart rate. The nurse identified the cardiac rhythm as which of the following? - CORRECT ANSWER-Atrial fibrillation
A nurse is preparing to administer the first dose of cefazolin via intermittent IV infusion to a client. Which of the following actions should the nurse take first? - CORRECT ANSWER-Review the clients allergy history
A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility? - CORRECT ANSWER-Swollen area on calf
A nurse is preparing to administer 3 medications to a client who is receiving continuous enteral feeding through the Ng tube. Which of the following actions is appropriate for the nurse to take? - CORRECT ANSWER-Use a syringe to allow the medications to flow by gravity
A nurse is caring for a client who has end stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parents. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure? - CORRECT ANSWER-Hypertension
A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER-Drink 2 liters of water per day
A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis? - CORRECT ANSWER-Keep an abduction pillow between the client's legs
A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery. Which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER-Monitor vital signs every hour for the first 4 hours
A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take? - CORRECT ANSWER-Place the oxygen tank away from curtains or drapes
A nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify which of the following situations as an example of interpersonal conflict? - CORRECT ANSWER-A nurse experiences insulting comments directed at them by another nurse
A school nurse is performing scoliosis screenings. The nurse should recognize which of the following clinical manifestations as an indication of scoliosis? - CORRECT ANSWER-Uneven shoulder and pelvic heights
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery. Which of the following actions should the nurse take to promote learning? - CORRECT ANSWER-Connect new information with the client's past experiences
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include? - CORRECT ANSWER-Document the client's condition every 15 minutes
A nurse in a PACU is transferring care of a client to a nurse in the medical surgical unit. Which of the following statements should the nurse include in the handoff report? - CORRECT ANSWER-The estimated blood loss was 250 milliliters
A nurse in a long term care facility is admitting a client who has dementia. Which of the following actions should the nurse take to reduce the risk for client injury? - CORRECT ANSWER-Assist the client to the toilet frequently
A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take? - CORRECT ANSWER-Document the client's behavior every 15 minutes
A nurse is reviewing the medical records of four clients. The nurse should identify which of the following clients' findings require follow up care? - CORRECT ANSWER-A client who is taking warfarin and has an INR of 1.8
A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hours ago. The nurse notes pink tinged urine in the drain bag. Which of the following actions should the nurse take? - CORRECT ANSWER-Maintain the irrigation solution rate
A charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge? - CORRECT ANSWER-A client who is 1 day postoperative following a vertebroplasty
A nurse is caring for a client who has pneumonia and tells the nurse I feel like an elephant is sitting on my chest. The client is weak and unable to walk. After the nurse initiates chest pain protocol, which of the following is a priority diagnostic test? - CORRECT ANSWER-12 lead ECG
A nurse is providing care for a client following a thoracentesis. If the client develops pneumothorax, which of the following assessment findings should the nurse expect? - CORRECT ANSWER-Pain on inhalation
A nurse is preparing to administer dopamine hydrochloride 4mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800mg in a 250ml bag. The client weighs 80kg. The nurse should set the IV infusion to deliver how many ml/hr. - CORRECT ANSWER-6 ml/hr
A nurse is consulting a pharmacological reference about medication compatibility prior to administering warfarin to a client. Which of the following medications should the nurse identify as being incompatible with warfarin? - CORRECT ANSWER-Naproxen
The charge nurse is observing a newly licensed nurse providing care for a client who is postoperative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void. Which of the following torts should the charge nurse identify as having occurred? - CORRECT ANSWER-Assault
A nurse is caring for a client who is in active labor. The nurse should notify the provider of which of the following findings? - CORRECT ANSWER-Prolonged decelerations
A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs. Which of the following actions should the nurse plan to take? - CORRECT ANSWER-Use a solution of 0.9% sodium chloride to flush the transfusion tubing
A nurse in an emergency department is assessing a client who reports ingesting 30 diazepam tablets 20 minutes ago. The client is lethargic and has a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next? - CORRECT ANSWER-Administer Flumazenil to the client-> it reverses the effects of diazepam
A nurse is assessing a client following an esophagogastroduodenoscopy. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER-Abdominal pain
A nurse is reviewing the medication administration record of a client. Which of the following prescriptions should the nurse clarify? - CORRECT ANSWER-Digoxin
.250 PO daily- yes, does not have a leading zero and has a trailing one.
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWER-Limit the clients opportunities to socialize with others
A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take? - CORRECT ANSWER-Choose vein that is palpable and straight
A nurse and outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development? - CORRECT ANSWER-Identity vs role confusion
A nurse is teaching a client about a variety of stress management techniques. Which of the following instructions by the nurse is appropriate? - CORRECT ANSWER-Tighten your muscles before relaxing them when using muscle relaxation techniques
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears and assistive personnel AP telling the client if you don't eat I'll put restraints on your wrist and feed you. The nurse should intervene and explain to the AP that this statement constitutes which of the following torts? - CORRECT ANSWER-Assault
A nurse is preparing to remove an IV catheter from an arm of a client who has phlebitis at a peripheral IV site. Which of the following actions should the nurse plan to take? - CORRECT ANSWER-Place a warm moist compress on the site
A nurse is planning to delegate the fasting blood glucose testing for a client who has diabetes mellitus chew and assistive personnel ASAP. Which of the following actions should the nurse take? - CORRECT ANSWER-Determine if the AP has the skills to perform the test
A nurse is caring for a client who is one hour postpartum and unable to urinate. Which of the following actions should the nurse take? - CORRECT ANSWER-Perform a fundal massage
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect? - CORRECT ANSWER-Fever
A nurse is caring for a client who speaks in a different language than the nurse and is using an interpreter. Which of the following actions should the nurse take when working with the interpreter? - CORRECT ANSWER-Speak in a normal voice at a natural pace
A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence? - CORRECT ANSWER-Previous violent behavior
An occupational health nurse is providing teaching to a group of factory workers about proper lifting techniques. Which of the following statements should the nurse make? - CORRECT ANSWER-Tighten abdominal muscles to improve balance
A nurse is caring for a client who has diabetes mellitus and is receiving long acting daily insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin? - CORRECT ANSWER-Glargine insulin
A nurse in an emergency department is caring for a client who is actively bleeding from a stab wound to the thigh. Which of the following actions should the nurse take? - CORRECT ANSWER-Applied direct pressure to the wound with thick dressing material
The nurse is caring for a client who experienced a traumatic brain injury 72 hours ago. Which of the following findings should the nurse identify as a potential indication of increased intracranial pressure? - CORRECT ANSWER-Increasingly severe headache
A nurse is assessing a 5 year old child who has diabetes insipidus and is receiving desmopressin. Which of the following findings should the nurse identify as an indication that the medication is effective? - CORRECT ANSWER-Cessation of nocturnal enuresis
A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding? - CORRECT ANSWER-Weak femoral pulse
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? - CORRECT ANSWER-Contractions
Nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching? - CORRECT ANSWER-This test should be performed after your baby is 24 hours old
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan? - CORRECT ANSWER-Minimize noise in the newborns environment
A nurse is caring for a child who has cystic fibrosis and requires postural drain. Which of the following actions should the nurse take? - CORRECT ANSWER-Perform the procedure prior to meals
A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include? - CORRECT ANSWER-This type of seizure can be mistaken by daydreaming
A community health nurse is working with a group of clients. The nurse practices the ethical principle of distributive justice by performing which of the following tasks? - CORRECT ANSWER-Ensuring that a clients who is homeless receives preventative medical care
A nurse is planning care for a client who is receiving continuous enteral tube feeding through an open system. Which of the following interventions should the nurse include in the plan of care? - CORRECT ANSWER-Flush the tubing with 30ml of water every 4 hr
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make? - CORRECT ANSWER-Your desire to be an organ donor must be documented in writing
In nurses caring for a client who has placenta previa. Which of the following findings should the nurse expect? - CORRECT ANSWER-Spotting
A charge nurse is concerned about a recent increase in facility acquired catheter infections. Which of the following actions should the nurse take first? - CORRECT ANSWER-Identify possible precipitating factors related to infection
A nurse is assessing the grief response of a client whose child died 6 months ago. Which of the following client statements should the nurse report to the provider as an indication of major depressive disorder? - CORRECT ANSWER-I am unable to feel any joy since my child died
A nurse is caring for a client who has respiratory depression from an opioid administration. After administering naloxone to the client, which of the following findings should the nurse expect? - CORRECT ANSWER-Hypoventilation (Respiratory depression is a decreased effort to breathe or a decreased rate of ventilation, which can result from opioid administration. Hypoventilation is the medical term for breathing at an abnormally slow rate, which results in an increased amount of carbon dioxide in the blood)
The nurse in a parental clinic is teaching a client about nonpharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER-I can use my ultrasound pictures as a focal point during contractions
A nurse is developing a nutritional care plan for a client who has COPD and severe dyspnea. To promote intake, which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER-Limit fluid intake with meals
A nurse is caring for a client who is in the active phase of labor and has decided to have a natural childbirth. Which is the following pain management technique should the nurse suggest? - CORRECT ANSWER-Provide information about the use of hydrotherapy during labor
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect? - CORRECT ANSWER-Inability to carry out simple tasks
A nurse is reporting a client's laboratory test to the provider to obtain a prescription for the clients daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin? - CORRECT ANSWER-INR
A nurse is preparing a client for transfer to a long term rehabilitation facility following a below the knee amputation of the right leg. Which of the following actions should the nurse take to protect the clients confidentiality? - CORRECT ANSWER-Provide a verbal report of the client's condition to the paramedic performing the transfer
A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the clients coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elderly abuse? - CORRECT ANSWER-Privately interviewed the client about the injuries [Show Less]