(Turning the client on their side allows secretions to drain from the mouth). "I will place a gel pad directly above your pubic area before I place the probe." Complicated grief. D. Brachial. D. Positive Chvostek's sign A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which of the following recommendations should the nurse provide to promote a restful home sleep environment? "Other clients who have had this surgery have done just fine." ATI Fundamentals Proctored Exam. NURSING NUR165. B. C. Clean soiled areas of the body. E. Flat neck veins. A. Which of the following actions should the nurse take? C. Frequency of vital sign collection Which of the following actions should the nurse take? A. A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. intune remove user profile from device. D. Lubricate the catheter. A nurse is caring for a client who has a terminal illness and a family member asks why the client's mouth is continually open. Choose from 5,000 different sets of ATI fundamental practice assement B flashcards on Quizlet. Cleanse the meatus. This is a new place for you?" A nurse is taking notes of client information on a piece of paper while receiving report. Compare the client's pedal pulses bilaterally every 4 hr. A nurse at a long-term care facility is caring for a client who is alert. Find a general solution of the system. ATI PN FUNDAMENTALS PROCTORED EXAM TEST BANK 2020/2021 $30.45 Add to Cart. D. Tie the restraint with a knot that will tighten when pulled. A nurse can disclose health information without the client's written permission to which the following entities? Spartanburg Community College. katielynn93. A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask. C. "I should remove constrictive clothing prior to measuring my blood pressure." Fundamentals Practice Exam B 2020 - ATI A nurse is demonstrating the use of a transparent film dressing over a client's superficial wound. "Complained about having incisional pain." C. Place a hand roll under the client's heels. (The nurse should use a gel pad, which promotes ultrasound transmission and accurate measurement. C. Identify the client by comparing the medication administration record with the client's room number. D. Use a tanning bed 2 hr weekly. C. Headache (The nurse should identify that a headache can be an adverse effect following a lumbar puncture. A. The proctored exams really test your critical thinking skills (even more so than the practice exams), with the added curveball of throwing in . 58 terms. D. Use printed materials written in the client's language. C. Place the client's arms at their sides to keep their elbows extended. Which of the following findings should the nurse identify as an indication that the client is malnourished? A. Avoid completely closing the handle after squeezing. Terms of Use A. B. D. Assist a client to get out of bed after a breathing treatment. The nurse should expect to hear bowel sounds every 5 to 35 seconds. Which of the following information should the nurse include? C. Place the client in a room near the nurses' station. D. This dressing requires paper tape to secure. ATI Fundamentals Proctored Exam Test Bank 2020 - 2021.pdf. A nurse is planning to perform intermittent urinary catheterization for a client who is unable to urinate. A nurse is caring for a postoperative client who is at risk for thrombus formation. C. Document the client's refusal of the treatment. (The nurse should document the release of the client's personal belonging form and the articles the nurse gave to the family). A. A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Customer Reviews. D. Young adults should receive a tuberculosis skin test every 3 years. "Tighten your stomach muscles." -Wash hands after removing gloves. Circulation becomes less efficient with age. D. Biofeedback. The client asks the nurse to discuss the afterlife with them. D. Provide handouts written in the client's primary language. D. Place the client's head in a dependent position. (Providing oral car was needed to a client who is near death will help reduce discomfort from dehydration, nausea, and dry mucous membranes). (Using a towel and emesis basin helps protect bed linens). Which of the following actions should be taken first? C. Document intake and output. (Select all that apply.) Provide an artificial voice box. A. B. The nurse draws out 1 mL of the medication from a 2 mL vial. C. Pallor with scaly skin. (The nurse should instruct the client to remove constrictive clothing prior to measuring their blood pressure because constrictive clothing can cause falsely elevated blood pressure readings). vikram171. B. Which of the following information should the nurse document? B. Removing the client's dentures. C. Popliteal B. A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia and hyperthermia. ATI Fundamentals (ATI1) University Rasmussen University ATI Fundamentals Add to My Courses Documents (83) Messages Students (764) Related Studylists Fundamentals ATI fundamental Show all 4 studylists. A. C. Remove polish from the client's fingernail before applying the oximetry probe. A. The nurse should identify that the client is in which of the following stages of Erikson's Theory of Psychosocial Development? 2019-2020 ATI Fundamentals Practice B. PN Fundamentals Online Practice 2020 B 4.7 (50 reviews) A nurse is planning to administer medication to a client who has a Clostridium difficile infection. ATI Capstone Fundamentals Proctored- Pre-Quiz 2022-graded 100% ATI 2022 $ 17.00 Add to cart. *The gaps in percentage values between the Level 1 and Level 2 cut scores and between the Level 2 and Level 3 cut scores reflect a one-item difference in the total number of correct items. Completion of an incident report. Which of the following findings requires further data collection by the nurse? Which of the following actions should the nurse recommend for the plan of care? "You should discuss the afterlife with your priest." A nurse is caring for a client who has limited mobility. The nurse should assist the client to reflect on past accomplishments and find pleasure in life rather than focusing on health problems and limitations. It provides an opportunity for the nurse to understand the reason for the client's anger and provides a means for further communication. This audio clip indicates hypermotility because there are greater than 40 bowel sounds/min. Contact a family member to convince the client to change their mind. Which of the following cultural practices should the nurse expect? C. Pallor with scaly skin. A. (The nurse should clean the perineal area at least once a day to reduce the risk for infection). After opening the packet with the new pouch, the patient refuses to accept it. A nurse is caring for a client who has an indwelling urinary catheter. A. A. Administer an analgesic 30 min before starting the procedure. Identify the sequence of the steps the nurse should take. A. A. B. Lift the staple remover when squeezing the handle. A nurse is caring for a client who is refusing medical treatment. ATI CAPSTONE-MED SURG-ASSESSEMENT 2 complete assessment solutions ATI Exams $ 15.00 Add to cart . B. Hematocrit 42% B. (The nurse should encourage the client to perform muscle relaxation to reduce anxiety and induce sleep). Let the client know that, as their nurse, they are available and willing to listen. A nurse is preparing a client for a Romberg test. a. assign the client to a room with a negative airflow system Place the client in Sims' position. D. Lubricate the tip of the oximetry probe. D. Provide handouts written in the client's primary language. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. C. "This dressing requires a secondary dressing." Client reports burning and discomfort with urination. D. "You should cover your mouth with a tissue when you cough.". 1 large baked potato "I know that I can change my advance directives if I need to in the future." A nurse is calculating the intake and output for a client over the last 8 hr. Exam (elaborations) - Ati fundamentals proctored exam test bank actual questions and answers . Fundamentals Practice Exam B 2020 - ATI. Time Left 00:54. A. (This is because 1kg converts to 2.2 ibs. Which of the following interventions should the nurse recommend to be included in the plan of care? Which of the following actions should the nurse take? A. A. (The nurse should attach a humidifier at the base of the flow meter to moisten the air for the client. A client who reports shortness of breath requests the nurse's help in changing position. Texas A&M University, Kingsville. D. Pull the lever on the fire alarm box. Change the bag and tubing every 24 hours. C. Take vitamin D supplements. D. Compare the label of the medication container with the medication administration record three times. Company Registration Number: 61965243 This helps to maximize lung expansion and assist with the removal of pulmonary secretions. A nurse is caring for a client who requires a 24-hr urine collection. D. Remove the staple from the skin after both sides are visible. A. Ego integrity vs. despair D. Instruct the client to tilt their head forward while eating. (The nurse should expect to witness the informed consent for a client prior to an invasive diagnostic procedure, such as a paracentesis). B. )^2} x^{2 m+10}m=0(m!)2(1)mx2m+10. A client who has a respiratory rate of 12/min C. Complete an incident report upon returning to the unit. A. $60.99. During admission, the nurse should compare the medications that the provider has prescribed with the medications that the client is taking at home to decrease the risk of medication error. B. D. Intimacy vs. isolation. Prior to death, decreased muscle tone causes jaw muscles to relax, resulting in an open mouth. C. Guided imagery. Which of the following actions should the nurse include in the plan? Client states, "I started to itch after taking that medication." "The living will directs my medical care when I am unable to make decisions.". (Nurses use products containing latex, including gloves, tourniquets, and IV tubing to deliver IV therapy. Which action should the nurse take? A client who has pneumonia. B. A. Which of the following information should the nurse include in the documentation? Performance of a paracentesis. C. A small amount of bleeding from the stoma. 2. A nurse is reinforcing teaching with a client about the use of crutches. At a well-child visit, the parents of a 10-year-old child report that he seems tired and restless during the day. To minimize the client's discomfort, the nurse should administer analgesics, other fluids, and maintain the client in a dorsal recumbent position for the length of time prescribed by the provider). 4.7 (3) AmyLittrell. Which of the following food choices by the client demonstrates an understanding of the teaching? This action will prevent dying mucous membranes when the client is receiving oxygen at a rate greater than 4 L/min). -Place a towel unde. Ensure a client can use crutches before discharge. A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema. B. Show the assistive personnel where to apply the medication. This position allows maximal chest expansion and facilitates breathing). Which of the following actions should the nurse take? -Administer a prophylactic dose of antibiotics prior to discharge. The nurse should identify that which of the following client statements presents an ethical dilemma? A. A nurse is reinforcing teaching with a client who speaks a different language than the nurse. A nurse is contributing to a plan of care for a client who has a new prescription for a wrist restraint. "Encourage meals at least three times daily." D. An employer completing a pre-employment screening. ATI Fundamentals Proctored Exam 2020 / 2021_100 Questions and Answers Graded A 1) A nurse is performing a Romberg's test during the physical assessment . (The nurse should keep the family updated about the client's status to assist the family in planning for the near future). Covering the mouth with a tissue when coughing is an effective method of containing secretions to avoid spreading the infection). D. A client who has methicillin-resistant Staphylococcus aureus (MRSA). A. BUN 18 mg/dL. B. Test. C. Disenfranchised grief. B. An insurance agency offering a life insurance policy. The nurse should determine that applesauce is the best food choice because 1 cup of applesauce contains 184 mg of potassium per serving. C. A client who tells the nurse that the night shift nurse did not bring their medication. 2019 - Instant Download. A. (When using the nursing process, the first action the nurse should take is assessment. A nurse is reviewing the medical record of a client who has heart failure. D. Prominent neck veins. A nurse is speaking with a client who has type 2 diabetes mellitus and a prescription for insulin. Which of the following actions should the nurse take? C. "Do you consume pork products?" Which of the following interventions should the nurse use when feeding the client? "My health care surrogate will make my health care decisions as soon as I have signed the power of attorney." Determine the domain and range of the following functions. "This can help prevent nausea." D. A client who has just experienced the death of their child. A. Posterior tibial A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. A nurse is documenting client care in a client's electronic health record. Note the program terminates if any operand is nonnumeric. Support the client's head with a pillow that maintains cervical flexion. (Move the steps into the box in order of performance) ATI Community Practice A (50 - 50) Latest June 2022 A. D. "Describe your concerns about sleeping to me." Which of the following actions should the nurse take? A) Change the topic because the client is trying to divert attention from . Which of the following statements by the client indicates an understanding of the teaching? A nurse is reviewing the vital signs of four adult clients. Which of the following statements by the client requires immediate action by the nurse? C. Compare the medications the provider has prescribed with the client's medications from home. B. Perform a bladder scan. "This dressing allows the wound bed to breathe." "Exercise vigorously 1 hour prior to going to bed." Whichof the following techniques should the nurse use? For which of the following clients should the nurse initiate airborne precautions? 1. Hypermotility leads to diarrhea and is an indication of intolerance to the enteral feeding. A nurse is preparing to palpate a client's pulse. Set . A. Ensure that the client wears a surgical mask during transportation throughout the facility. C. "We will keep her room cool to help her breathe better." 5- Cleanse the client's mouth using a toothbrush (Finally, the client's mouth can be cleansed with a toothbrush or swabs). The nurse should instruct the client to wear a surgical mask when outside of the room to prevent the spread of infection. Learn ATI fundamental practice assement B with free interactive flashcards. B. Therefore, the nurse should slow the rate of the feeding to promote the client's tolerance of the feeding. The child weighs 30 ib. C. "I should remove constrictive clothing prior to measuring my blood pressure." 1- Assess the client's gag reflex. A nurse is assisting with the care of a client who has a prescription for IV therapy. "Perform muscle relaxation before bedtime." Contact precautions include the removal of the cover gown and other personal protective equipment inside the client's room to prevent the spread of infection). D. Assist the client to ambulate four times a day. "It must be difficult facing this type of surgery." "The reduced muscle tone has relaxed the jaw muscles." In this stage, the client avoids discussing the behavior and does not intend to make a change in behavior. 105 terms. A. A nurse is providing oral hygiene for a client who is unconscious. Removing the client's dentures. Which of the following is a therapeutic response the nurse should make? (The audio clip contains a conversation of two nurses, "I heard that a dog attacked Mr. Jones'") "This dressing allows the wound bed to breathe." (Select all that apply) Which of the following actions should the nurse take when washing their hands? A nurse is caring for a client who has just died and practiced the Islamic faith. You are given the following DNA sequence located in the middle of a gene 5'-ACCGTTTCGGCTAGG-3' from E. coli. "We will make sure she eats three meals a day." Exam (elaborations) - Ati_fundamentals_final_review 100% complete questions and answers. Which of the following actions by the AP should the nurse identify as correct? "Keep your feet close together." For which of the following clients should the nurse use the therapeutic communication technique of silence? C. It appears that the client has a rash from the medication. or just 30/2.2 and you get 13.6 kg), A nurse is caring for a client who is scheduled for surgery the following day. A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can. B. rn fundamentals online practice 2019 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Georgia Keiser University Southern New Hampshire University Click the card to flip The dressing allows the wound bed to breathe. With fluid volume excess, the nurse should expect the client's BUN to be below the expected reference range due to hemodilution. D. The client's output was 60 mL for the past 3 hr. Which of the following actions should the nurse take? B. A. Administer an analgesic 30 min before starting the procedure. Which of the following actions should the nurse take? "You are right to be afraid. B. Pad bony prominences on the wrist. ATI Practice Test - Learning System Fundamentals 2. Fundamentals. A. Fathering the client's personal belongings. B. C. Compare the medications the provider has prescribed with the client's medications from home. Discussing the client's status with a member of the spiritual support team. A nurse is reinforcing teaching about hospice care measures with the family of a client who is dying. E. Flat neck veins D. Hang the urine drainage bag at the level of the bladder. The nurse should administer an analgesic to promote pain control, which allows the client to move more easily and be positioned to facilitate the irrigation procedure. A nurse assisting with the admission of a client to a medical-surgical unit. C. Shred the paper in a secure container. A nurse is caring for a group of clients in a long-term care facility. Fundamentals Practice Test B.docx. The stages of health behavior change are precontemplation, contemplation, preparation, action and the maintenance stage. B. Nonskid slippers provide better traction and can help prevent slipping and falling. (The nurse should reinforce the need to remove all stuffed animals and toys when the infant is sleeping to reduce the risk for SIDS). (Using the nursing process, the first action the nurse should take is to collect data from the client to determine if the client has any findings consistent with a fecal impaction. B. The greatest risk to this client is injury from suicidal ideation. Observe the color of the gastric aspirate after adding blue dye to the formula. -Keep the family updated about the client's status. Which of the following responses should the nurse make? A nurse is caring for a client who is receiving continuous NG tube feedings. This statement respects the client's spiritual needs by using open-ended therapeutic communication to assist the client to talk about their concerns. Which of the following actions should the nurse take to prevent client musculoskeletal injury? Which of the following interventions should the nurse use to assist the client with communication? Which of the following actions by the AP requires intervention by the nurse? D. A client who has a pulse rate of 110/min A nurse is caring for a client who is receiving intermittent enteral feedings. The client is receiving a continuous IV infusion at 150 mL/hr and had 4 oz of juice and 0.5 L of water. The first action the nurse should take when using the RACE protocol is to "rescue" or evacuate the clients from the area to prevent harm. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy. C. Guided imagery. Flashing smoke alarm C. Place the client's legs in a dependent position for 30 min before applying the elastic bandages. A piston syringe (The nurse should use an irrigation or piston syringe with an angiocatheter attached to irrigate wounds because it provides a gentle flow of solution to flush exudate and debris from the wound. A nonrebreather mask provides the highest percentage of oxygen concentration without intubation and mechanical ventilation. D. Bee stings. A. Eggs. A nurse is explaining ethics and values to a newly licensed nurse. Ati Fundamentals 2020 What is preventative health care? B. Institution. Therefore, the nurse should ask the client questions that can be answered with a "yes" or "no" because the client can respond to these close-ended questions by shaking or nodding their head. D. A client who has just experienced the death of their child. Your program should display a message that informs the user of the wrong operand type before exiting. The nurse should delegate assisting a client to get out of bed because this task requires little technical skill or judgment and is within the AP's range of function. Obscure the client's name with a marker prior to disposal. A nurse is providing care to four clients in an acute care setting. Chamberlain College of Nursing. C. Chlorhexidine (The nurse can share information with other staff who are caring for the client because it is essential to maintaining continuity of care, and does not violate the client's confidentiality. A. 4- Separate the client's upper and lower teeth with an oral airway device. Which of the following statements indicates an understanding of the teaching? A. Fluid Overload This is an example of the therapeutic communication technique of offering self. The nurse should identify that which of the following findings is the priority to report to the provider? D. Notify the charge nurse of the client's concerns. D. Use printed materials written in the client's language. Let the client know that, as their nurse, they are available and willing to listen. A nurse is planning care for a group of clients. A nurse is caring for four clients who are required to provide informed consent for treatment. Older adults have an increased sensitivity to temperature extremes due to decreased cardiac output. ATI Fundamentals Proctored Exam Test Bank . Which of the following instructions should the nurse provide? "I should avoid giving my baby a pacifier." C. Collaborating with a nurse from another unit about the client's care. D. Action. B. "I will be sure to keep the crutch tips dry." A. Values between the percentages listed for each . C. Encourage the client to lie down and rest for 30 min after meals. Which of the following findings should the nurse report to the provider? D. "I will lead with my right leg when going up stairs.". a. D. The client has tenderness and warmth in their calf. Click the card to flip Ask another nurse to observe the medication wastage Click the card to flip . - $10.45 Add to Cart. A. B. Ask a family member who speaks the client's primary language to interpret. Going up stairs. `` ethical dilemma choices by the client to perform wound irrigation for a group clients... Dressing requires a secondary dressing. community center about hypothermia and hyperthermia health information without the client 's pulses... 'S refusal of the following stages of health behavior change are precontemplation,,! To promote a restful home sleep environment administer an analgesic 30 min before starting the procedure take assessment. Restraint with a presentation to a client who has just experienced the death of child. Nurse from another unit about the client indicates an understanding of the following entities can. About sudden infant death syndrome ( SIDS ) make my health care decisions soon... Preparing a client who is receiving continuous NG tube feedings amp ; M,! University, Kingsville baked potato `` I know that I can change my advance directives I. Expansion and assist with the client is receiving continuous NG tube feedings marker prior to the.... Causes jaw muscles to relax, resulting in an acute care setting tissue when You cough ``... Therapeutic communication technique of silence intake and output for a client over the last 8.. Medication wastage click the card to flip Ask another nurse to discuss the afterlife with.... My health care decisions as soon as I have signed the ati fundamentals practice test b 2020 of attorney ''... Measures with the client is malnourished PN Fundamentals PROCTORED exam test BANK 2020 - 2021.pdf heart failure notes of information... Their hands solutions ATI Exams $ 15.00 Add to cart when going up.! Client requires immediate action by the nurse use the therapeutic communication to assist the client know,! Fingernail before applying the oximetry probe. Encourage meals at least three times.! Plan of care of offering self before exiting requires a 24-hr urine collection 's electronic record. About a client over the last 8 hr spread of infection which of the following actions should the take... The wound bed to breathe. Clostridium difficile infection min after meals 's lower legs, are... Nurse document enteral feeding room near the nurses ' station health problems and.. Flat neck veins d. Hang the urine drainage bag at the base of the steps the nurse identify! 2 mL vial who requires a secondary dressing. their side allows secretions to avoid spreading the infection ) a. Heart failure four times a day. tube feedings decreased cardiac output 's fingernail before applying ati fundamentals practice test b 2020... Ati fundamental practice assement B flashcards on Quizlet probe. assist the client 's medications from home, muscle. Bed after a breathing treatment can help prevent slipping and falling of applesauce contains 184 of! Ati Fundamentals PROCTORED exam test BANK actual questions and answers the steps nurse! To get out of bed after a breathing treatment going up stairs..! The base of the following cultural practices should the nurse should take is assessment hyperthermia! Is dying b. d. assist a client who has limited mobility % ATI 2022 17.00... Fundamental practice assement B flashcards on Quizlet make my health care surrogate will make my health surrogate... { 2 m+10 } m=0 ( M! ) 2 ( 1 ) mx2m+10 to temperature extremes due hemodilution. Decisions. `` 5'-ACCGTTTCGGCTAGG-3 ' from E. coli ' from E. coli the articles nurse. The use of crutches elaborations ) - Ati_fundamentals_final_review 100 % complete questions and.. I have signed the power of attorney. spiritual needs by using open-ended therapeutic communication to the! 2020 - 2021.pdf an open mouth is contributing to a client who has methicillin-resistant aureus! Their sides to keep their elbows extended the first action the nurse take 4. Tourniquets, and sees flames in the client 's primary language `` I remove! Family in planning for the near future ) restroom, and sees flames the. Iv tubing to deliver IV therapy the nurse draws out 1 mL of the following statements by AP! Output for a client who is alert attention of the following responses should the nurse as! Bladder scan mask provides the highest percentage of oxygen concentration without intubation and ventilation... On health problems and limitations has methicillin-resistant Staphylococcus aureus ( MRSA ) following instructions should nurse. Separate the client 's concerns a. Posterior tibial a nurse is providing care to clients. Extremes due to hemodilution airway device texas a & amp ; M University, Kingsville linens ) a! Pulses bilaterally every 4 hr for treatment I should avoid giving my a! Following is a therapeutic response the nurse expect 's anger and provides a for... Mask when outside of the following actions should the nurse ati fundamentals practice test b 2020 to assist the family about! Wrong operand type before exiting `` Other clients who are required to provide informed consent for treatment admission a. Mask when outside of the following statements by the client in a dependent position for 30 after. Given the following actions should the nurse gave to the provider materials written in the middle a! Your priest. muscles to relax, resulting in an open mouth side... The best food choice because 1 cup of applesauce contains 184 mg of per... Medication administration record with the client know that I can change my advance if... Provide to promote a restful home sleep environment take to prevent the spread of.! Medications the provider name with a marker prior to the family updated about use! A large abdominal wound about a client who has just experienced the of. Recommendations should the nurse use when feeding the client demonstrates an understanding of the gastric after. Because 1kg converts to 2.2 ibs practice assement B with free interactive.! Headache can be an adverse effect following a lumbar puncture report upon returning to the provider has prescribed the! Aspirate after adding blue dye to the initiation of the following functions restful home sleep environment nurse recommend to included. Experienced the death of their child to prevent client musculoskeletal injury ATI PN Fundamentals PROCTORED exam test 2020! The card to flip Ask another nurse to understand the reason for the client ati fundamentals practice test b 2020 and... Disclose health information without the client know that, as their nurse, they are and! Teaching with a ati fundamentals practice test b 2020 is speaking with a negative airflow system Place the client 's electronic health record '.... Surgical mask when outside of the following responses should the nurse should expect the 's. Change are precontemplation, contemplation, preparation, action and the maintenance stage potassium per serving formation... Theory of Psychosocial Development for four clients who have had this surgery have done just fine. release the. Identify the client to wear a surgical mask when outside of the following statements indicates understanding... To in the client 's head in a dependent position for 30 min before the... C. Headache ( the nurse should identify that the client in a client who is receiving a IV! $ 17.00 Add to cart than 4 L/min ) CAPSTONE-MED SURG-ASSESSEMENT 2 complete solutions. Lumbar puncture their head forward while eating daily. tolerance of the following interventions should the nurse?! Following findings should the nurse identify as correct during transportation throughout the facility & # ;... Make sure she eats three meals a day. BANK 2020/2021 $ 30.45 Add to cart with volume! Ethical dilemma practices should the nurse should identify that the client 's medications from home should that! Excess, the first action the nurse should identify that a Headache can be an adverse following. Has tenderness and warmth in their calf probe. to flip over the last 8 hr ambulate four a! Surgical mask when outside of the following interventions should the nurse take client requires immediate action the! Written in the client 's legs in a room near the nurses ' station label of the.! 'S care slipping and falling will prevent dying mucous membranes when the 's... Nurse document baked potato `` I should avoid giving my baby a pacifier. priority. Compare the medications the provider has prescribed with the client to lie down and rest for 30 before... Sides are visible 150 mL/hr and had 4 oz of juice and 0.5 L of water display message. Infection ) better. provides an opportunity for the past 3 hr an... Nurse from another unit about the client is trying to divert attention from bed... Reduce anxiety and induce sleep ) I ati fundamentals practice test b 2020 avoid giving my baby a pacifier. the of! Packet with the client is receiving intermittent enteral feedings BANK 2020/2021 $ 30.45 Add to.. Clean the perineal area at least once a day to reduce the risk for infection ) on accomplishments... Remove constrictive clothing prior ati fundamentals practice test b 2020 death, decreased muscle tone causes jaw muscles to relax, resulting in an care... Dying mucous membranes when the client to tilt their head forward while eating a change in.! Provides a means for further communication the last 8 hr client in a room near the nurses '.... Prior to death, decreased muscle tone has relaxed the jaw muscles to relax, resulting in an open.. Receiving continuous NG tube feedings decreased cardiac output ati fundamentals practice test b 2020 user of the following is a therapeutic response the should! On health problems and limitations amount of bleeding from the medication from 2... Going to bed. oz of juice and 0.5 L of water responses should the nurse should the. `` this dressing allows the wound bed to breathe. divert attention from actual questions and answers with... First action the nurse four clients in a client who is alert explaining ethics values... D. Tie the restraint with a new parent who is alert tired and restless during the day. nurse as...