ATI Proctored Capstone Comprehensive Assessment A already graded A+1. A nurse is teaching a client who has a new prescrip- tion for metformin extended release tablets. Which of the following statement... s by the client indicates an understanding of the teaching? I will avoid crushing this medication I'll switch to a lactose-free formula 2. A nurse is assessing a client who is receiving enteral feeding via an NG tube. The client has developed hyperosmolar dehydration. Which of the following ac- tions should the nurse take when administering the client's findings? Empty your ostomy pouch when it is half full Switch to a lactose-free formula. 3. A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the dis- ease at home which of the following instructions should the nurse include? Apply cold compresses too painful areas I should boil tap water for 2 minutes and call it before I mix it with powdered formula 4. A nurse is teaching about Safe Handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teach- ing? I should boil tap water for 2 minutes before I mix it with powdered formula I should use sterile water when I mix it with powdered formula 5. A nurse is assessing a child who is post-operative I will avoid crush- ing this medication Switch to a lac- tose-free formula. Apply cold com- presses too painful areas I should boil tap water for 2 min- utes before I mix it with powdered for- mula Frequent swallow- ing ings should the nurse identify as the priority? During this test, I will punch a button if the baby moves Frequent swallowing 6. A nurse is teaching a client who is pregnant about non-stress testing. Which of the following statements by the client indicates an understanding of the teach- ing? During this test, I will punch a button if the baby moves During this test, I will punch a button if I feel stressed 7. A nurse is monitoring a client who is receiving a transfusion of packed RBC's.The client reports chills, headaches, low back pain, and a feeling of tightness in his chest. The nurse should identify that the client has developed which of the following types of trans- fusion reactions? Pudendal nerve block Acute hemolytic 8. A nurse is caring for a client who is in the latent phase of Labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated two centimeters, 25% effaced and -2 station. Which of the following interventions should the nurse implement? You should wear a snug fitting bra continuously for 72 hours Request the provider prescribe a pudendal nerve block 9. A nurse is teaching about how to suppress lactation You should wear with a client who is postpartum and bottle feeding her a snug fitting bra newborn. Which of the following instructions should the nurse include in the teaching? continuously for 72 hours You should wear a snug fitting bra continuously for 72 hours Room number 10. A nurse is preparing to administer medication to a client. What are the following identifiers should the nurse use to identify the client? Room number MRN 11. A nurse is caring for a client who is taking antihy- pertensive medication and is moving from a supine to a seated position. Which of the following findings should indicate to the nurse that the client is experi- encing orthostatic hypotension? The clients systolic blood pressure decreases by 25 mmHg The clients systolic blood pressure increases by 35 mmHg 12. While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm of the ventilator sounds. Which of the following actions should the nurse take? Look for a block in the tubes cuff Look for a leak in the tubes cuff 13. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first? Monitor Vital Signs every hour throughout the trans- fusion Position the sterile drape leaving the perineum ex- posed Room number The clients sys- tolic blood pres- sure decreases by 25 mmHg Look for a leak in the tubes cuff Position the ster- ile drape leaving the perineum ex- posedto take? Monitor Vital Signs every hour throughout the trans- fusion Monitor RR every hour throughout the transfusion 15. A new nurse in an acute mental health facility is teaching a client about potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that he might feel light-headed but that it should not affect his memory. The nurse is demonstrating which of the following ethical principles? Beneficence Restrictive 16. A nurse is teaching a class about providing care with- in the legal scope of practice to a group of nurses. The nurse should include that which of the following procedures is outside the legal scope of practice for an RN? [Show More]
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