ATI FUNDAMENTALS OF NURSING PROCTORED EXAM TEST BANK WITH NGN

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30. A nurse in a long-term care facility is planning to perform hygiene care for anew resident. Which of the following assessment questions is the nurse's priority before beginning this procedure? A... . "when do you usually bathe, in the morning or evening?" B. "do you prefer a bath or a shower?" C. "at what temperature do you prefer your bath water?" D. "are you able to help with you hygiene care?" "Are you able to help with your hygiene care?" The greatest risk to the client's safety is an injury resulting from an overestimation of the client's ability to help with hygiene care; therefore, the nurse’s priority is to assess the client's ability to assist with her hygiene care. 31. A charge nurse is discussing the responsibility of nurses caring for clients who have a clostridium difficile infection. Which of the following information should the nurse include in the teaching? A. assign the client to a room with a negative air-flow system B. use alcohol-based hand sanitizer when leaving he client's room C. clean contaminated surfaces in the client's room with a phone solution D. have family members wear gown and gloves when visiting Have family members wear a gown and gloves when visiting. A Nurses are responsible for ensuring that family members wear a gown and gloves to prevent the transmission of Clostridium difficile spores. Caregiversmust also wear gowns and gloves. 32. A nurse is assessing an older adult client's risk for falls. which of the following assessments would the nurse use to identify the cent's safety A needs? (Select all that apply). A. lacrimal apparatus B. pupil clarity C. appearance of bulbul conjuctivae D. visual fields E. visual acuity B. pupil clarity D. visual fields E. visual acuity 33. A nurse is caring for a client who is expressing anger over his diagnosis of colorectal cancer. Which of the following actions should the nurse take? A. discuss the risk factors for colon cancer B. focus teaching on what the client will need to do in the future to manage his illness C. provide the client with written information about the phases of loss and grief D. reassure the client that this is an expected response to grief Reassure the client that this is an expected response to grief. During the anger stage of the client's psychosocial adaptation to illness, the nurse should support the client and ensure him that this is an expected reaction to a cancer diagnosis. 34. A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take? A A. insert the other at a 45º angle B. place the client's arm in a dependent positio [Show More]

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