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ATI Week 8 Quiz (5,43,44)

Terms in this set (15)

A nurse is preparing for a change-of-shift report. Which of the following information should the nurse include in the report?
Bone scan scheduled for today
A nurse manager is discussing the HIPPA Privacy Rule with a group of newly hired nurses during orientation. Which of the following information should the nurse manager include? (Select all that apply)
B. Family members should provide a code prior to receiving client health information
C. Communication of client information can occur at the nurses station
D. A client can request a copy of their medical record
E. A nurse can photocopy a client's medical record for transfer to another facility
A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be the followed when documenting in a client's record? (Select all that apply)
B. Put the date and time on all entries
C. Document objective data, leaving out opinions
A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply)
A. Medication error
B. Needle sticks
D. Omission of prescription
A nurse is reviewing a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply)
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the provider's signature on the prescription within 24 hr.
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following should be included when explaining the procedure to the client?
D. The specimen cannot be contaminated with urine
A nurse is providing dietary teaching for a client who reports constipation. Which of the following foods should the nurse recommend?
B. One medium apple with skin
A nurse is assessing a client who has diarrhea for 4 days. Which of the following findings should the nurse expect? (Select all that apply)
B. Hypotension
C. Elevated temperature
D. Poor skin turgor
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following actions should the nurse take?
B. Clamp the enema tubing
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following steps should the nurse take? (Select all that apply)
A. Warm the enema solution prior to instillation
B. Position the client on the left side with the right leg flexed forward
C. Lubricate the rectal tube or nozzle
A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (Select all that apply)
B. Decrease or avoid caffeine
D. Avoid drinking alcohol
A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take?
A. Check to see whether the catheter is patent
A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of the following actions should the nurse take?
A. Discard the first voiding
A nurse is reviewing factors that increase the risk of urinary tract infection (UTIs) with a client who has recurrent UTIs. Which of the following factors should the nurse include (select all that apply)
A. Frequent sexual intercourse
D. Location of the urethra closer to the anus
E. Frequent catheterization
A nurse is preparing to initiate a bladder-retraining program for a client who has incontinence. Which of the following actions should the nurse take? (Select all that apply)
B. Have the client record urination times
C. Gradually increase the urination intervals
D. Remind the client to hold urine until the next scheduled urination time
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