RN ATI concept -based assessment, proctored exam for level 4 RN Concept -Based Level 4 Assessment RN Concept -Based Assessment Level 4 Online Practice A RN Concept -Based Assessment Level 4 Online Practice B Question Meningitis and infants ✔✔✔ Alterations in temperature, vomiting seizures and nuchal rigidity Question Heart Failure what action should the nurse initially take ✔✔✔ Breath sounds Question EMTALA states that ✔✔✔ Clients should be stable before they can be discharged. Prohibits refusing to care for clients who are uninsured. Question How to prevent vasovagal response ✔✔✔ Avoid bearing down, use an arm reacher to grab items, avoid using cold compress, avoid gag reflex Question Viral hepatitis diet ✔✔✔ High carb, high calorie, moderate fat and protein to promote healing Question Disaster planning how often to check for expired items ✔✔✔ Every 6 months Question What action should nurse manger take first if nurse is impaired ✔✔✔ Remove the nurse from the work environment Question What electrolyte increases with thiazide medication ✔✔✔ Calcium Question WHat is smoothing conflict resolution strategy ✔✔✔ Focus on positive Question What is hydrotherapy ✔✔✔ Perform 1 to 2 times daily, washing small areas on clients wound, use scissors and forcepts remove loose Question Case manger ✔✔✔ Identifies treatment, care settings, equipment to promote cost - effective positve outcomes Question Should you bathe patient in clorahexidine wipes ✔✔✔ Yes Question How long should you wash your hands ✔✔✔ 15- 20 seconds Question For home health visits who is involved? ✔✔✔ Family and caregivers, current provider will review approve and authorize treatment plan Question Electrolytes for Addison desease ✔✔✔ Hypoglycemia, high potassium, low sodium (lack of cortisol), high calcium Question What is the tocolytic Terbutaline do ✔✔✔ Tocolytic relaxes the uterine smooth muscle to suppress preterm labor Question Can hepatitis clients donate blood ✔✔✔ No Question Degenerative disk disease ✔✔✔ Muscle strengthening exercises , do not lose bone density Question Osteoporosis do they lose height ✔✔✔ Yes Question Difference between osteoporosis and degenerative disk diseae ✔✔✔ Bone density and osteoarthritis Question How to transfuse paltelents ✔✔✔ Through a filter, over 15-30 minutes, Question Cystic fibrosis interventions
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