ATI RN FUNDAMENTALS WITH NGN

A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects? A) Auscultate lung sounds. B) Measure urine output. C) Monitor blood pressure readings. D) Monitor serum electrolyte levels. auscultate lung sounds A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium difficile infection. Which of the following information should the nurse include in the teaching? ...

A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and who might have a right ear infection. Which of the following routes should the nurse use to obtain the temperature? Temporal A nurse is caring for a client who is in the terminal stage of cancer. Which of the following actions should the nurse takes when she observes the client crying? Sit and hold the client's hand A community health nurse is preparing a campaign about seasonal ...

A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? A. Bounding pedal pulse B. Capillary refill less than 2 seconds C. Pain that increases with passive movement D. Areas of warmth on the cast C. Pain that increases with passive movement A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements m...

A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium? Easily distracted A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse make? "I'll stay with you just in case you want to talk." A nurse is caring for four clients in an emergency departmen...

A.) Ask the Caller for verification of their identity A nurse working on a medical-surgical unit receives a telephone call requesting the status of a client from an individual who identifies themself as the client's parent. Which of the following actins should the nurse take? A.)Ask the caller for verification of their identity B.) Give the caller limited information about the client C.) transfer the phone call to the client's room D.) Inform the caller that they should obtain permissio...

A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include? A. "Keep your knees in a locked position when standing for prolonged periods." B. "Bend at the waist when lifting a heavy object." C. "Keep your feet close together when lifting a heavy object." D. "When lifting a heavy object, keep it close to your body." D. "When lifting a heavy object, keep it close to your body." The nurse shou...

A nurse prepare to apply dressing for client with stage 2 pressure injury. WHat types of dressing should the nurse use? A. Alginate B. Gauze C. Transparent D. Hydrocolloid D. Hydrocolloid Client has terminal illness and is at the end of life. Which one of the following statements by the client's partner indicates effective coping? A. I am not worried because I still have hope that he will be okay B. I am relying on support from our family during this time C. We can plan our famil...

A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate? Droplet precautions A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I can't deal with this." Which of the following responses should the nurse make? "I'm not sure I follow you. Can you...

A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process? compare prescriptions with medications the client received while are the facility a nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." which of the following components of the prescription should the nurse verify with the provider? medication dose a nurse is...

A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? Check that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is providing teaching to a client who has esophageal cancer a...