ATI RN Fundamentals online practice 2019 B with NGN explained answers

A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Which of the following findings should the nurse identify as a potential indication of elder abuse? - answer The caregiver insists on remaining in the room A middle adult client tells the nurse "I feel so useless now that my children do not need me anymore." Which of the following responses should the nurse make? - answer "People in middle adulthood often find satisfaction in untiring and guiding young people." A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice? - answer Initiate an enteral feeding through a gastrostomy tube A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? Round to nearest whole number - answer 8 ml/hr 800 units/hr x 250ml /25,000 units A nurse is caring for a client who reports pain. When documenting the quality of the clients pain on an initial pain assessment, the nurse should record which of the following client statements? - answer The pain is like a full ache in my stomach A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching? - answer I flushed what I urinated at 7:00 am and have saved all urine since A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? - answer Rapid heart rate A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - answer When descending stairs, I will shift my weight to my right leg. A nurse in an acute care facility is preparing a discharge summary for a client who is transferring to a long-term care facility. Which of the following documentation should the nurse include? - answer Current medications A nurse is planning care for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care to assist the client with feeding? - answer Arrange food in a consistent pattern on the clients plate A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend? - answer Walking briskly A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and his family? - answer -check the cord routinely for frays or tearing is correct -consider purchasing a generator for power backup -observe for signs of hypoxia A nurse is teaching a group of staff nurses about the use of essential oils for aromatherapy. The nurse should include in the teaching that this therapy might be contraindicated for which of the following clients? - answer A client who has asthma A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take? - answer Spect a suction catheter that is half the size of the lumen A nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. Which of the following actions should the nurse take? - answer Instruct the family to refrain from pushing the button for the client while she is asleep. A nurse is planning care for a client who has tuberculosis. The nurse should use which of the following pieces of personal protective equipment when providing care for the client? - answer N95 A nurse is discussing the use of herbal supplements for health promotion with a client. Which of the following client statements indicates an understanding of herbal supplement use? - answer I can take echinacea to improve my immune system A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse? - answer The newly licensed nurse places the cap of the bottle of sterile salon solution on the sterile field. A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The clients partner wants the client to have the blood transfusion. Which of the following actions should the nurse take? - answer Withhold the blood transfusion A nurse on a medical unit is preparing to discharge a client to home. Which of the following should the nurse take as part of the medication reconciliation process? - answer Compare prescriptions with medications the client received while at the facility A charge nurse is discussing the responsibility of nurses caring for clients who have a C-diff infection. Which of the following information should the nurse include in the teaching? - answer Have family members wear a gown and gloves when visiting. A nurse is preparing to delegate client care tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate? - answer Ambulating a client who is postoperative