ATI RN MEDSURG 2020/2021 PROCTORED EXAM11A nurse working in the emergency department is caring for a client who has a burn injury.After securing theclient's Airway which of the following interventions should the nurse takefirst?Cleanse the client woundAdminister AnalgesicmedicationIncrease theroom temperature Start anIV with a large bore needle2A nurse is caring for a client who has a central venous access device and notes the tubinghas become disconnected. The client develops dyspnea and tachycardia. Which of thefollowing actions should the nursetake first?Obtain ABGvaluesPerforman ECGTurn the client to his left sideClamp the catheter94.A nurse is providing discharge teaching to a client who has impaired immune system due tochemotherapy.Which of the following information should the nurse include in the teaching?Wash your perineal area 2 times each day with antimicrobial soapChange the water in your drinking glass every 4 hoursp.581 avoid fluids sitting atroom temp forlonger than 1hrWash your toothbrush in the dishwasher once each monthp.581 wash toothbrush daily indishwasherChange your pet litter box dailyp.581 avoid changingpet’slitter box1A nurse is assessing a client who is 12hr postoperative following a colonresection. Which of thefollowing findings should the nurse report to the surgeon?a.Heart rate 90/minb.Absent bowel sounds→normal findings after major bowel surgery; takesseveral days to returnto normal.Preview Mode
This document has 29 pages. Sign in to access the full document!