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ATI Practice A and B
Terms in this set (10)
A nurse is contributing to the plan of care for a client who has a positive throat culture for strep. Which of the following interventions should the nurse recommend to be included in the plan of care?
ensures the client wears a surgical mask during transportation throughout the facility
A nurse is preparing to remove a clients peripheral IV catheter. After performing hand hygiene and applying clean gloves, which of the following actions should the nurse take FIRST?
clamp the infusion tubing
A nurse is calculating the I and O for a client over the last 8 hours. The client is receiving a continuous IV infusion at 150mL/hr and had 4 oz. of juice and 0.5L of water. How many mL of fluid should the nurse document as the client's intake for the last 8 hr?
A nurse is assisting with the admission of a client who has brought their medications to the facility. What action should the nurse take?
compare the medications the provider has prescribed with the clients medications from home
A nurse is caring for a client who is post op and is experiencing nausea and vomiting. What indicates fluid volume deficit?
cool extremities, orthostatic hypotension, flat neck veins
Fluid volume excess
full bounding pulse, moist crackles in the lungs
BUN below 10
A nurse is preparing to transfer a client from an acute care facility to a long-term care facility. What should the nurse include in the transfer report?
resolved health conditions
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the following findings is the priority to report to the provider?
The client's output was 60mL for the past 3 hours
A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of the following findings as a potential adverse effect of this procedure?
to minimize discomfort put the client in dorsal recumbent position/ offer fluids and administer analgesics
A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask. What action should the nurse take to ensure client safety?
attach a humidifier to the base of the flow meter
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