ATI COMPREHENSIVE C1.A 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 the client’s peripheral pulse rate every 30 minC.Obtain a prescription for restraint within 4 hr.D.Document the client’s condition every 15 minutes2.A 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.Administer analgesics on a scheduled basis for the first 24 hr3.A 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.A client who has a hip fracture and a new onset of tachypnea4.A 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 to promoteabsorption; avoid oily or broken skin)b.Wear gloves to apply the patch to the client’s skinc.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)5.A nurse has just received change-of-shift report for four clients. Which of the followingclients should the nurse assess first?a.A client who was just given a glass of orange juice for a low blood glucose levelb.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 pain6.A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which ofthe following places the client at risk for aspiration?a.A history of gastroesophageal reflux diseaseb.Receiving a high osmolarity formulac.Sitting in a high-Fowler’s position during the feedingd.A residual of 65 mL 1hr postprandial7.A nurse is reviewing the laboratory results for a client who has Cushing’s disease. Thenurse should expect the client to have an increasein which of the following laboratory values?a.Serum glucose level- increasedPreview Mode
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