Testing and Remediation ATI Therapeutic Communication – Flashcards

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question
A nurse caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the client's total parenteral nutrition is turned off. The client tells the nurse that the battery went dead while she was in physical therapy. The nurse should monitor the client for which of the following manifestations?
answer
Shakiness and diaphoresis
question
A nurse is reinforcing teaching to parents of a child who is admitted with rheumatic fever. Which of the following statements by the parent indicated a need for further teaching?
answer
This illness will not recur because my child has now had it
question
A nurse is assisting with the care of a client who is in labor. Following spontaneous rupture of membranes, the nurse visualizes the umbilical cord protruding from the vagina and the fetal heart rate is 50 min. After calling for assistance and notifying the provide, which of the following is the priority action by the nurse?
answer
Place client in knee-chest postion
question
A nurse is reinforcing teaching to a client who is newly diagnosed with hypertension and has been prescribed captopril. The nurse should reinforce that which of the following medications has the potential to reduce the antihypertensive effect of captopril?
answer
Aspirin
question
A nurse is caring for a client who is prescribed lithium. Which of the following clinical findings should be immediately reported to the provider?
answer
Slurred Speech
question
A nurse is reinforcing teaching about methods to decrease nausea to a client who is receiving chemotherapy. Which of the following statements by the client indicates a need for further teaching?
answer
I should eat low carbohydrates foods
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A nurse is reinforcing teaching regarding foods containing complete protein to a client. Which of the following should be included in the teaching?
answer
soybeans
question
A nurse in a long-term care facility is assisting with an educational program regarding common sites of health care associated infections for a group of newly hired assistive personnel. Which of the following sites should be included in the teaching (SATA)
answer
> Urinary tract > Surgical Wound > Respiratory tract > Blood Stream
question
A nurse is caring for an infant who has been prescribed a one-time dose of ceftriaxone 50 mg/kg IM. The infant weights 17.6lb. Available is 500 mg/mL. How many m: should the nurse administer?
answer
0.8 mL
question
A nurse is caring for caring for a client who is admitted with acute alcohol withdrawal. Which of the following findings should the nurse report to the provider?
answer
tachycardia
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A nurse is collecting data on a child who is diagnosed with bacterial epiglottitis. Which of the following clinical findings are associated with the illness (SATA)?
answer
> Drooling > Stridor >Difficulty Swallowing > high-grade fever
question
A nurse is a caring for a client who has borderline personality disorder. Which of the following is a manifestation of the disorder?
answer
Unstable interpersonal relationships
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A nurse is working with administration to enhance the quality of care provided to clients during the prenatal period. In which of the following roles is the nurse functioning?
answer
advocate
question
A nurse is reviewing the laboratory results of four clients. Which of the following should be immediately reported to the provider?
answer
A client who is prescribed digoxin and furosemide with a potassium of 3.1 mEq/L
question
A nurse is assessing a client who is postoperative following a gastric bypass. Which of the following findings indicates the client could be experiencing an anastomotic leak?
answer
Oliguria
question
A nurse is caring for a client who is from a culture different than his own. Which of the following actions by the nurse is most important in the provision of culturally competent care?
answer
Identify one's own beliefs and values
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