ATI FUNDS QUESTIONS WITH COMPLETE SOLUTIONS |93 Q & A

A nurse is caring for a client who ask what their Snellen eye test results mean. The clients visual acuity is 20/30 . Which of the following responses should the nurse make? Apply elastic stockings, assist the client to change positions often Your eyes see a 20 feet what visually unimpaired eyes see at 30 feet Encouraged client to perform antiembolic exercises every two hours Frequent sexual intercourse, location of the urethra closer to the anus, frequent catheterization 1 of 93 Term A nurse is noticed several occasions in the past week when another nurse on the unit seem drowsy and unable to focus on the issue at hand. Today the nurse was found asleep in the chair in the break room not during a break time. Which of the following action should the nurse take? Provider. Pharmacist. Registered nurse. Report the observations to the nurse manager on the unit Offered to assist the client who needs the bedpan Check to see whether the catheter is Patent 2 of 93 Term A client who has an indwelling catheter reports I need to urinate. Which of the following actions should the nurse take? Clench your teeth, tell me when you feel a touch Move clients who are nearby Check the clients weight each morning Check to see whether the catheter is Patent 3 of 93 Term A nurse is caring for a client in the emergency department, who has an oral body temperature of 101 F, pulse rate 114 bpm, and respiratory rate 22 bpm. The client is restless with warm skin. Which of the following intervention should the nurse take? Select all that apply. Make sure that the clients call light is within reach, provide the client with nonskid footwear, complete a fall risk assessment Hold the cane on the right side, keep two points of support on the floor, after advancing the cane move the weak leg forward Nail polish should not be used in your client who is receiving oxygen, a no smoking sign should be placed on the front door, if I extinguisher should be readily available in Home Obtain culture specimens before initiating antimicrobials, encourage the client to rest and limit activity, assist a client with oral hygiene frequently 4 of 93 Term Immersed in the IV team is conducting an in-service education program about the complications of IV therapy. Which of the following statements made by Nintendo, he indicates an understanding of the manifestations of infiltration? Select all that apply. 84-68 = 16 Obtain culture specimens before initiating antimicrobials, encourage the client to rest and limit activity, assist a client with oral hygiene frequently carbohydrates The temperature on the IV site is cooler, the Ivy dressing is damp, the tissue around in venipuncture site is swollen 5 of 93 Term A nurse is caring for a client was a prescription for 24 hour urine collection. Which of the following action should the nurse take? Complete a fall risk assessment Discard the first voiding Responsibility Check the clients weight each morning 6 of 93 Term