RN COMPREHENSIVE ATI A QUESTIONS AND ANSWERS |2023 VERIFIED ANSWERS
A nurse is planning care for a client who is receiving heparin to treat a L leg DVT.
... [Show More] Nursing intervention?
-Maintain the client on bed rest
-Restrict the client to 1L of fluid per day
-Place cool compresses on the edematous area
-Elevate the affected leg
{{Ans- elevate the leg
-reduce edema
-decrease risk of chronic venous insufficiency
A nurse is teaching about child safety measures. What statement indicates understanding?
-I will make sure my 4YO child wears a helmet when using a skateboard
-I should have my child avoid sun exposure between 10 am and 2 pm
- {{Ans- avoid sun exposure 10am-2pm
-to prevent sunburn, also sunscreen, protective clothes
A home health nurse is teaching about infection prevention to a cancer pt on chemo. Which statement indicates understanding? {{Ans- "I'll walk short distances throughout the day"
-reduces pulmonary stasis + prevent development of respiratory infections
A nurse is providing dietary teaching to the parents of a 6 month old. What instructions should the nurse give? {{Ans- introduce new foods over 5-7 days
A charge nurse is planning care for a client in mechanical restraints. What interventions? {{Ans- provide a staff member to stay with the client continuously
-d/t r/o injury
A community health nurse is assisting with the development of a disaster management plan. What nursing responsibility should be included in the disaster response stage? {{Ans- perform a rapid needs assessment
-ID severity of incident, health needs of community, priority actions
-Prevention, preparedness, response, recovery
A nurse manager is assisting with the orientation of a newly licensed nurse. Which of the following requires manager intervention? {{Ans- tells the hospital chaplain a client's diagnosis
A nurse is caring for a client that is in labor at 39 weeks gestation. During the second stage of labor, the nurse observes early decelerations on the monitor. What action should the nurse take? {{Ans- continue observing the fetal heart rate
-indicates progression of labor + expected finding
A nurse manager is planning to make changes to the current scheduling system on the unit. To facilitate staff acceptance, what should the nurse manager do first? {{Ans- provide information about scheduling issues to staff
-1st stage is unfreezing, when nurse informs staff about issues, increases understanding why changes are necessary [Show Less]