ATI COMPREHENSIVE RETAKE 2019/2023 with NGNA nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Thenurse obtained a verbal prescription for restraints. Which of the following should the actions thenurse take?A.Request a renewal of the prescription every 8 hr.B.Check theclient’speripheral pulse rate every 30 minC.Obtain a prescription for restraint within 4 hr.D.Documenttheclient’sconditionevery15minutesA nursing planning care for a school-age child who is 4 hr postoperative followingperforated appendicitis. Which of the following actions should the nurse include in the plan ofcare?a.Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first)b.Give cromolyn nebulizer solution every 6 hr (for asthma)c.Apply a warm compress to the operative site every 4 hrd.Administeranalgesicsonascheduledbasisforthefirst24hrA nurse is receiving change-of-shift report for a group of clients. Which of the followingclients should the nurse plan to assess first?a.A client who has sinus arrhythmia and is receiving cardiac monitoringb.A client who has diabetes mellitus and a hemoglobin A1C of 6.8%c.A client who has epidural analgesia and weakness in the lower extremitiesd.Aclientwhohasahipfractureand a new onset of tachypneaA nurse is preparing to apply a transdermal nicotine patch for a client. Which of thefollowing actions should the nurse tak e?a.Shave hairy areas of skin prior to application ( apply to hairless, clean & dry areas topromote absorption; avoid oily or broken skin)b.Wearglovestoapplythepatchtotheclient’sskinc.Apply the patch within 1 hr of removing it from the protective pouch (apply immediately)d.Remove the previous patch and place it in a tissue (fold patch in half with sticky sidespressed together)A nurse has just received change-of-shift report for four clients. Which of the followingclients should the nurse assess first?a.Aclient whowasjustgivenaglassoforangejuiceforalowbloodglucoselevelb.A client who is schedule for a procedure in 1 hr (can wait)c.A client who has 100 mL fluid remaining in his IV bag (can wait)d.A client who received a pain medication 30 min ago for postoperative painA nurse is caring for a client who is receiving intermittent enteral tube feedings. Which ofthe following places the client at risk for aspiration?a.AhistoryofgastroesophagealrefluxdiseasePreview Mode
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