ATI Post Exam 1

A nurse is preparing a presentation about glucosamine to a group of clients. Which of the following information should the nurse include in the teaching? a. "Avoid using glucosamine with chondroitin." b. "Glucosamine can cause degradation of cartilage when used over a long time." c. "Avoid taking glucosamine if you have a shellfish allergy." d. "You can take glucosamine with an anticoagulant medication." - c. "Avoid taking glucosamine if you have a shellfish allergy." A nurse is caring for a client who has visual loss. Which of the following actions should the nurse implement? a. Remove all objects from the client's bedside table. b. Instruct the client to open items on the food tray. c. Walk a step behind the client when assisting with ambulation. d. Count steps to the bathroom with the client. - d. Count steps to the bathroom with the client. A nurse is discussing activity modification with a client who had a right THA. Which of the following statements should the nurse include in the information? a. "Plan to sit in a straight-backed chair when out of bed." b. "Place a pillow between your legs when lying in bed." c. "You can cross your legs at the ankles when sitting." d. "You should bend at the waist when tying your shoes." - b. "Place a pillow between your legs when lying in bed." A nurse is teaching a newly licensed nurse about preventing a CAUTI for a client who has an indwelling urinary catheter. Which of the following instructions should the nurse include? a. Ensure the urinary catheter tubing is not kinked. b. Rest the catheter bag on the floor when the client is sitting in a chair. c. Clean the perineal area with an antiseptic solution. d. Empty the collection bag for the client every 12 hr. - a. Ensure the urinary catheter tubing is not kinked. A nurse is reviewing the laboratory data of a client who is taking the herbal supplement feverfew to reduce the frequency of migraine headaches. The nurse should identify that which of the following findings indicates a potential contraindication to taking this herbal supplement? a. Potassium 3.5 mEq/L b. Platelet count 100,000/mm3 c. Cholesterol 250 mg/dL d. Urine bilirubin 0.2 mg/dL - b. Platelet count 100,000/mm3 A nurse is providing dietary teaching to a client who has heart failure. The nurse should identify which of the following client statements indicates an understanding of the teaching? a. "I will use homemade vinegar and oil dressings on my salads." b. "I should purchase low-calorie frozen meals for my lunches." c. "I should add salt when cooking my food so I do not add it at the table." d. "I will increase my dietary intake of processed cheese products." - a. "I will use homemade vinegar and oil dressings on my salads." A nurse is caring for a client who is postoperative and has a history of heart failure. The client reports slight dyspnea when ambulating. Which of the following findings should the nurse expect when performing a skin assessment? a. Petechiae over the client's chest and abdomen b. Tenting of the skin on the client's arm c. Shiny areas on the client's ankles and feet d. Dry, flaky skin on the client's arms and hands - c. Shiny areas on the client's ankles and feet A hospice nurse is planning end-of-life comfort care for a client. Which of the following interventions should the nurse include in the plan? a. Cover the client with an electric blanket if extremities become mottled. b. Provide frequent feedings during the day. c. Position the client on their side to improve breathing. d. Remove visitors from the room if the client becomes restless. - c. Position the client on their side to improve breathing. A nurse is assessing a client who has a sodium level of 124 mEq/L. Which of the following findings should the nurse expect? a. Reports thirst b. Decreased consciousness c. Reports constipation d. Swollen tongue - b. Decreased consciousness A nurse is teaching a client who has a prescription for continuous ambulatory peritoneal dialysis. Which of the following instructions should the nurse include? a. Eat a low-fiber diet to maintain dialysate flow. b. Warm the dialysate in the microwave before instillation. c. Expect the dialysate outflow to appear cloudy. d. Allow the dialysate to dwell for 4 hr during each exchange. - d. Allow the dialysate to dwell for 4 hr during each exchange. A nurse is caring for a client who has an endotracheal tube. Which of the following actions should the nurse take? a. Perform endotracheal suctioning on the client every hour. b. Use clean technique to suction the client's endotracheal tube. c. Increase the oxygen flow before suctioning the client's endotracheal tube. d. Instill 0.9% sodium chloride into the client's endotracheal tube before suctioning. - c. Increase the oxygen flow before suctioning the client's endotracheal tube.