ATI PN Comprehensive Predictor Form C (180 Q_A)100 CORRECT VERIFIED AND RATED 100 LATEST 2, Exams of Nursing

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1.A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints (15-30min). Which of the following should the actions the nurse take? A. Request a renewal of the prescription every 8 hr. B Check the client’s peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client’s condition every 15 minutes. 2.A nursing planning care for a school-age child who is 4 hr postoperative following perforated 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 b Give cromolyn nebulizer solution every 6 hr c. Apply a warm compress to the operative site every 4 hr d. Administer analgesics on a scheduled basis for the first 24 hr 1. Anurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? a. A client who has sinus arrhythmia and is receiving cardiac monitoring b Aclient who has diabetes mellitus and a hemoglobin A1C of 6.8% c. A client who has epidural analgesia and weakness in the lower extremities d. Aclient who has a hip fracture and a new onset of tachypnea 2. Anurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take? a. Shave hairy areas of skin prior to application b. Wear gloves to apply the patch to the client’s skin c Apply the patch within 1 hr of removing it from the protective pouch d Remove the previous patch and place it in a tissue 3. Anurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first? a. client who was just given a glass of orange juice for a low blood glucose level b. 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 pain 4. Anurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? a. __Ahistory of gastroesophageal reflux disease b. Receiving a high osmolarity formula c Sitting in a high-Fowler’s position during the feeding