ATI nursing Concepts – Flashcards
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A nurse in a local Clinic is caring for a female client who is 35 years old. Which of the following screening should the nurse recommend to the client
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Dermatologist evaluation every three years to detect skin cancer
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A nurse is caring for a client who has cancer. The client has decided to stop treatment and request a referral to hospice. They making the referral as requested the nurses illustrating which type of ethical principle
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Autonomy
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A nurse is reviewing the documentation of a newly licensed nurse. Which of the following actions by the newly licensed nurse while documenting requires a nurse perceptor to intervene
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Including in a client notes that an incident report was completed after a medication error
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A nurse is caring for a client who has been admitted to the medical unit with vomiting and possible dehydration which of the following findings requires immediate intervention
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Potassium 2.5 meq / l This is too low
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Hunter's is caring for a client who is diagnosed with active pulmonary tuberculosis is taking isoniazid (INH) and ethambutol (Myambutol). Which of the following manifestations reported by the client acetate the discontinuation of ethambutol
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Loss of color discrimination
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A nurse is caring for a client who has nausea and prescription for promethazine (Phenergan) 25 mg IM. Which of the following is appropriate when preparing a medication for administration from an ampule
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Set ampule on a flat surface to withdraw the promethazine
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A nurse is reinforcing teaching about HIV with a group of high school students. Which of the following information is appropriate for the nurse to include
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Initial HIV symptoms are often similar to the flu
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A nurse on the coronary care unit is caring for a client who was transferred from the medical for from experience of myocardial infraction. After the client is stabilized she asked why she had been transferred where her family is unable to visit. What is the appropriate response
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talk for a minute about your concerns
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A nurse is reinforcing teaching about performing suctioning to a client who is being discharged following a tracheostomy. Which of the following behaviors of the client indicates that teaching has been effective
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Demonstrating independent performance of the procedure
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A nurse is working with the information technology department of the the facility to establish protocol regarding security mechanisms that will protect the electronic health records of clients period which of the following could result in a violation
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Ability of staff to access electronic health records of clients throughout the facility
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A nurse is caring for a client following a Bronchoscopy . Which of the following findings requires immediate intervention
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Difficulty breathing
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A nurse is reinforcing teaching by demonstrating deep breathing and coughing exercises to a client who is scheduled for abdominal surgery. Which of the following responses by the client should the nurse postpone the teaching
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States that pain is an 8 on a scale of 0 to 10
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A nurse is caring for an older adult client who was admitted 3 days ago with fractured ribs bilaterally and is suspected of being abused by his caregiver. Which of the following should be the nurse the Prairie
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Protect the client from further abuse
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A nurse is caring for an older adult who has an allergy to sulfa, is taking valproic acid (Depakote) for a seizure disorder, and has been newly diagnosed with osteoarthritis. The client states that keep seeing commercials on TV for Celebrex and want to try it period upon review of scientific evidence the nurse should inform the client which of the following
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Celecoxib is contraindicated in clients with allergy to sulfonamides online
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A nurse is caring for a client who has a cerebrovascular accident and is having difficulty swallowing. Which of the following health care professional should attend the clients next interdisciplinary team needed to address the complications
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Speech pathologist
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A nurse is caring for a client who has osteoarthritis and is considering treatment with acupuncture. Which of the following is acceptable for the nurse to include in discussion with the client
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Acupuncture has been proven to reduce pain and increase function
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A nurse discovers that a client who is diagnosed with dementia received the wrong medication. Which of the following should the nurse his first action be
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Determine the clients
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A nurse is reinforcing teaching to a client who has aphasia. Which of the following actions by the nurse is appropriate when communicating with the client
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Having the client use eye blinks to indicate yes or no
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A nurse in a provider's office is orientating a newly licensed nurse on how to position a client in a vaginal examination. The nurse include in the teaching to place a client in which following position
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Lithotomy
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A nurse is reinforcing teaching about transdermal nitroglycerin (nitro-dur) to a client who is stable amgina. Which of the following indicates teaching has been effective
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The patch should be effective within one hour of being applied