ATI PN Comprehensive Test (Top 2024/2025 EXAM REVIEW DOC )

ATI PN Comprehensive Test T/F the nurse should plug an NG tube and keep it above the level of the stomach when ambulating a client - True. This prevents stomach contents from leaking into the pigtail T/F the nurse can NOT instil air into an NG pigtail but she can instil air IF there is leakage. - True. If the nurse notes edema above the catheter insertion site, what is the best action of the nurse? - This indicates infiltration. The nurse stop the IV infusion. THe presence of skin balancing indications infiltration as well. S/Sx of hypoglycemia: - pale, sweaty skin, irritability, tachycardia, tremors and hungry S/Sx of hyperglycemia - fruity breath, lethargy, weakness, thirst, polyuria, How can a pt decrease pain when replacing an ostomy pouch system - Gently and gradually peeling the skin barrier away while *holding the skin taut* will minimize discomfort AND trauma to the peristomal skin If a pt does not meet goals or outcomes in the critical pathway due to an unexpected finding, or the nurse finds a need for additional interventions, what is the nurse's best action? - document the findings as a variance as either a negative or positive variance. T/F Rifampin, for the tx of TB, can interact w/ and reduce the effectiveness of oral contraceptives, therefore the nurse should instruct the pt to use a secondary method to prevent pregnancy. - True If a client taking Rifampin for the tx of TB complains of HA, fever, or muscle aches, what should the nurse's response be? - Report the symptoms to HCP immediately as these indicate flu like symptoms and infection, which can lead to meningococcal meningitis A nurse in a providers office is reviewing pediculosis capitis management and prevention strategies w/ the parent of a school age child. What education should the nurse provide the parents with? - Transmission of lice occurs via contact w/ personal items so store the childs clothing in a separate cubicle when at school. Do NOT use insecticides because they are a danger to young children and pets Boil brushes and combs in water for 10 minutes to kill lice and nits Dry bed linens and clothing in a HOT dryer for at