ATI Adult Health lll Exam 4 Answers
1. The nurse on the neurological unit is positioning a client who had a stroke two days ago and had left-sided hemiparesis. Which of the following actions by the nurse would be appropriate? Select all that apply.
a. Positioning a rolled washcloth in the cli...
, AT
Adult Health lll Exam 4 Answers
Starting on question #3
1. The nurse on the neurological unit is positioning a client who had a stroke two days ago
and had left-sided hemiparesis. Which of the following actions by the nurse would be
appropriate? Select all that apply.
a. Positioning a rolled washcloth in the client‟s left hand
b. Placing a foam abduction wedge between the client‟s legs
c. Grasping the client‟s left arm to pull the client from supine to a right side-lying
position
d. Securing the left arm in a sling
e. Putting a trochanter roll on the outside of the client‟s left hip when the client is
supine.
2. The nurse is caring for a client who has expressive aphasia following a stroke. The nurse
has taught the client‟s spouse about ways to facilitate communication. Which of the
following comments by the client‟s spouse would require follow-up?
a. “I wait after I ask my spouse a question, to give as much time as needed to
answer.”
b. “I ask my spouse questions like, „Do you like this movie?‟ instead of „What do
you think of this movie?‟”
c. “I act like I understand when I do not, so that my spouse will not become
frustrated.”
d. “I tell my spouse, „Point to what you want” so I do not get frustrated trying to
understand.”
3. The nurse is caring for a client with increased intracranial pressure (ICP) who has
developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the
following prescribed interventions should the nurse implement?
a. Electrolyte restriction
b. Electrolyte replacement
c. Fluid replacement
d. Fluid restriction
4. The nurse is planning care for a client who has a recent diagnosis of multiple sclerosis
(MS). Which of the following interventions should the nurse include in the client‟s care
plan?
a. Instruct the client on daily muscle stretching exercises
b. Provide total assistance with all activities of daily living (ADLs)
c. Encourage the client to follow a low-residue diet
d. Encourage client to void every hour
5. The nurse is caring for a group of assigned clients. Which of the following client‟s should
the nurse see first?
a. The client with ulcerative colitis who reports left lower quadrant abdominal pain
and passing stools that appear bloody with mucus and pus.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GREATSTUDY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
