Podcast
Questions and Answers
Which of the following actions should the nurse include in the plan of care for a client with a prescription for a bowel-training program following a spinal cord injury?
Which of the following actions should the nurse include in the plan of care for a client with a prescription for a bowel-training program following a spinal cord injury?
Which of the following actions should the nurse take when caring for a client who is in active labor and requests pain management?
Which of the following actions should the nurse take when caring for a client who is in active labor and requests pain management?
To which of the following types of injuries should the nurse assign the highest priority when performing triage for multiple clients following a disaster in the community?
To which of the following types of injuries should the nurse assign the highest priority when performing triage for multiple clients following a disaster in the community?
Which of the following guidelines should the nurse include when updating protocols for the use of belt restraints?
Which of the following guidelines should the nurse include when updating protocols for the use of belt restraints?
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Which of the following actions should the nurse take when caring for a client who is in active labor and requests pain management?
Which of the following actions should the nurse take when caring for a client who is in active labor and requests pain management?
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To which of the following types of injuries should the nurse assign the highest priority when performing triage for multiple clients following a disaster in the community?
To which of the following types of injuries should the nurse assign the highest priority when performing triage for multiple clients following a disaster in the community?
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What is the first step the nurse should take to administer an autologous blood product to a client?
What is the first step the nurse should take to administer an autologous blood product to a client?
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Which of the following prescription orders should the nurse contact the provider for clarification?
Which of the following prescription orders should the nurse contact the provider for clarification?
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What is the appropriate action for the nurse to take when caring for a client who requires seclusion to prevent harm to others on the unit?
What is the appropriate action for the nurse to take when caring for a client who requires seclusion to prevent harm to others on the unit?
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What should the nurse do to identify a client before administering an autologous blood product?
What should the nurse do to identify a client before administering an autologous blood product?
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Which of the following medication prescriptions should the nurse contact the provider for clarification?
Which of the following medication prescriptions should the nurse contact the provider for clarification?
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What is the appropriate action for the nurse to take when caring for a client who requires seclusion to prevent harm to others on the unit?
What is the appropriate action for the nurse to take when caring for a client who requires seclusion to prevent harm to others on the unit?
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What is the priority action for the nurse working in a rehabilitation facility developing a discharge plan for a client with left-sided hemiplegia?
What is the priority action for the nurse working in a rehabilitation facility developing a discharge plan for a client with left-sided hemiplegia?
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Which client should be closest to the nurse's station in a mental health unit?
Which client should be closest to the nurse's station in a mental health unit?
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What action should a nurse take when preparing to measure an infant's temperature?
What action should a nurse take when preparing to measure an infant's temperature?
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In a scenario with contractions lasting 80 seconds, FHR baseline of 170/min, and early decelerations, what should a nurse do for a client with bipolar disorder experiencing mania?
In a scenario with contractions lasting 80 seconds, FHR baseline of 170/min, and early decelerations, what should a nurse do for a client with bipolar disorder experiencing mania?
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For a client with left-sided hemiplegia, which action should a nurse avoid?
For a client with left-sided hemiplegia, which action should a nurse avoid?
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When planning care for a client with depressive disorder, what is the most appropriate nursing intervention?
When planning care for a client with depressive disorder, what is the most appropriate nursing intervention?
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Which finding should the nurse expect in a school-age child with a urinary tract infection?
Which finding should the nurse expect in a school-age child with a urinary tract infection?
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Which client should the nurse recommend for early discharge in anticipation of multiple admissions following an external disaster?
Which client should the nurse recommend for early discharge in anticipation of multiple admissions following an external disaster?
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If a client weighs 80 kg and the nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min, with a solution of 800 mg in 250 ml, what should the IV infusion rate be set to? (Round to the nearest whole number)
If a client weighs 80 kg and the nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min, with a solution of 800 mg in 250 ml, what should the IV infusion rate be set to? (Round to the nearest whole number)
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Which statement should the nurse include when providing teaching to the parents of a newborn regarding genetic screening?
Which statement should the nurse include when providing teaching to the parents of a newborn regarding genetic screening?
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Which statement is not true regarding the administration of dopamine hydrochloride?
Which statement is not true regarding the administration of dopamine hydrochloride?
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What is the primary concern for a client who is 1 day postoperative following a vertebroplasty?
What is the primary concern for a client who is 1 day postoperative following a vertebroplasty?
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Which of the following medical conditions in the child should the nurse identify as a contraindication for becoming a living kidney donor for their father?
Which of the following medical conditions in the child should the nurse identify as a contraindication for becoming a living kidney donor for their father?
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For which client should the nurse recommend a referral to a dietitian?
For which client should the nurse recommend a referral to a dietitian?
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What should the hospice nurse's response be to the son of the client with terminal cancer, who is experiencing sleep deprivation due to caregiving?
What should the hospice nurse's response be to the son of the client with terminal cancer, who is experiencing sleep deprivation due to caregiving?
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A client with end-stage kidney disease is considering a living kidney donation from their child. Which statement by the child should raise concern for the nurse?
A client with end-stage kidney disease is considering a living kidney donation from their child. Which statement by the child should raise concern for the nurse?
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Which statement by a client indicates a need for dietary counseling from a dietitian?
Which statement by a client indicates a need for dietary counseling from a dietitian?
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What is the most appropriate response from the hospice nurse to the son of the client with terminal cancer who is experiencing sleep deprivation due to caregiving?
What is the most appropriate response from the hospice nurse to the son of the client with terminal cancer who is experiencing sleep deprivation due to caregiving?
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Study Notes
Bowel-Training Program
- Include scheduled bowel movements to establish routine.
- Monitor dietary intake, ensuring fiber-rich foods are included.
Active Labor and Pain Management
- Assess pain level and discuss options for pain relief, including medications and non-pharmacological methods.
- Administer epidural anesthesia or analgesics as per client request and health protocols.
Triage Prioritization
- Assign highest priority to clients with life-threatening injuries, such as airway obstructions or severe bleeding.
- Implement triage systems such as the START (Simple Triage and Rapid Treatment) method.
Belt Restraints Protocols
- Ensure clarity on indication for use and duration of restraints.
- Regularly reassess the need for restraints and document client behavior.
Autologous Blood Product Administration
- Confirm client identity using two identifiers: name and medical record number.
- Obtain consent and ensure proper crossmatching of blood products.
Clarification of Prescription Orders
- Contact the healthcare provider for any unclear or conflicting medication orders, especially for high-risk medications.
- Verify dosages, routes, and administration times before proceeding.
Client Seclusion Management
- Maintain a safe environment for clients requiring seclusion.
- Document observations and rationale for seclusion in client records.
Discharge Planning for Left-Sided Hemiplegia
- Focus on rehabilitation goals, including adaptive equipment training and mobility planning.
- Involve occupational therapy in creating a comprehensive discharge plan.
Mental Health Unit Client Placement
- Place clients with higher risk of self-harm or agitation closest to the nursing station for constant observation.
- Ensure a safe and supportive environment for vulnerable clients.
Infant Temperature Measurement
- Prepare to use a digital thermometer; ensure it is in working order before measuring.
- Choose the appropriate site (rectal, axillary, or tympanic) based on medical guidelines.
Bipolar Disorder and Contractions
- Monitor fetal heart rate (FHR) and uterine contractions closely for signs of distress.
- Provide appropriate emotional support and reassurance to the client.
Actions to Avoid with Left-Sided Hemiplegia
- Avoid placing objects on the left side to prevent frustration and accidents.
- Encourage the use of the right side for tasks to promote independence.
Nursing Interventions for Depressive Disorder
- Implement cognitive-behavioral therapy strategies to help clients manage symptoms.
- Encourage participation in enjoyable activities to boost mood.
Urinary Tract Infection in School-Age Child
- Expect complaints of dysuria, frequency, and possibly abdominal pain.
- Educate parents about hygiene practices to prevent recurrence.
Early Discharge Recommendation
- Identify stable clients with minimal complications who can safely be discharged before potential overcrowding from disasters.
- Consider clients requiring ongoing supportive care for follow-ups.
Dopamine Hydrochloride IV Infusion Calculation
- Calculate infusion rate based on weight: 80 kg x 4 mcg/kg/min = 320 mcg/min.
- Convert to ml/hour using solution concentration: 800 mg in 250 ml = 3200 mcg/ml; therefore, set infusion rate to approximately 30 ml/hour.
Genetic Screening for Newborns
- Inform parents about the benefits of early detection of genetic disorders.
- Discuss potential lifestyle implications based on screening results.
Administration of Dopamine Hydrochloride
- Misconceptions may exist regarding dosage protocols; ensure correct dosing adjustments based on therapeutic goals.
- Monitor client response and vital signs continuously during administration.
Postoperative Concerns Following Vertebroplasty
- Primary concern includes monitoring for complications like infection or improper alignment of vertebrae.
- Assess neurological status regularly for signs of deterioration.
Kidney Donation Contraindications
- Identify medical conditions such as uncontrolled hypertension or diabetes in children as contraindications for live donation.
- Assess overall health status and suitability for surgical risks.
Dietitian Referral Recommendations
- Suggest referrals for clients with specific dietary needs, such as those with diabetes or renal issues.
- Ensure comprehensive nutritional assessments to guide management.
Hospice Caregiver Support
- Offer empathetic listening and reassurance regarding caregiver challenges, emphasizing the importance of self-care.
- Provide information on respite services and community resources to alleviate caregiver burden.
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Description
Prepare for the ATI RN Comprehensive Predictor 2023 with questions related to planning care for clients with various health conditions, such as spinal cord injuries. Test your knowledge on nursing interventions and client care strategies.
