ATI: Knowledge and Clinical Judgement Beginner

ATI: Knowledge and Clinical judgement A nurse preceptor is orienting a newly licensed nurse. Which of the following actions indicates a breach of confidentiality and requires intervention by nurse preceptor? Discussing changes in clients plan of care with friend who is a nurse on another unit When collecting data on a client who is immobile, a nurse locates a reddened area of skin on the left scapula. Which of the following actions should the nurse take? Cover area with transparent wound barrier A Nurse is providing discharge education to parents of preschooler who is prescribed tylenol 300mg every 4hr as needed. The liquid suspension that has been prescribed provides 120 mg/5mL. How many teaspoons should the nurse teach the parents to administer per dose? 2.5 a nurse is collecting date on a recently admitted patient. Which of the following techniques should the nurse use to measure tissue perfusion? Obtaining the client's level of oxygen saturation A nurse is caring for a patient who scheduled for cardiac surgery and tells the nurse, " I don't think I'm going to have the surgery. Everybody has to die sometime." Which of the following responses by the nurse is appropriate? Tell me more about your concerns A nurse is caring for a patient who diagnosed with urinary tract infection and is prescribed ciprofloxacin 250 mg PO two times daily. The amount is available is 100 mg/tablet. How many tablets should the nurse administer? 2.5 A nurse is providing patient education about a new prescription of nitroglycerin to a client who is diagnosed with angina. Which of the following statements indicates a needs for further teaching? I'm lucky I have a prescription plan that allows me to buy pills in bulk quantities A nurse is caring for a male client who has been prescribed an indwelling urinary catheter. In which of the following positions should the client be placed for insertion of the catheter? Supine A nurse is assisting with preparation of a teaching program about healthy nutrition for a group of clients who are tactile learners. Which of the following should be included? Prepare healthy meal to serve at the end of class A nurse preceptor is working with a newly licensed nurse to transfer a client from the bed to a chair. Which of the following actions by the new nurse indicates a need for further teaching to prevent lift injuries? Twisting at the waist and shoulders A nurse is caring for a client who has been prescribed an indwelling urinary catheter. When preparing to insert the catheter, the nurse should first open the sterile package in which of the following directions?