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ATI PN Comprehensive Predictor 2024

A nurse is reinforcing teaching with a client about intermittent catheterization to measure residual urine. Which of the following information should the nurse include in the teaching? o “You cannot drink fluids for 4 hours after the procedure.” o “You will need to urinate before the procedure.” o “You will have a leg bag to collect the urine.” o “You will feel pressure when I inflate the catheter balloon.” • A nurse is caring for a client who has terminal cancer and has declined treatment. The nurse attempts to convince the client to reconsider his decision and discusses this attempt with the charge nurse. Which of the following actions should the charge nurse take? Meet with the client’s family to discuss treatment options Perform a mental status examination to establish the client’s competency o Ask the client if he has any financial concerns o Talk with the nurse about the need to support the client’s decision • A nurse is reinforcing teaching about breastfeeding with a client who gave birth 2 days ago. Which of the following information should the nurse include? o Allow the newborn to nurse for no more than 10 min on each breast o Store expressed breast milk in the refrigerator for up to 72 hr o Feed the newborn 8 to 12 times every 24 hr o Supplement feedings with 30 mL (1 oz) of water four times per day • A nurse is assisting with the admission of a school-aged child. Which of the following actions should the nurse plan to take? (Exhibit) o Initiate contact precautions for the child o Place the child on bed rest for 24 to 48 hr o Restrict the child's intake of foods containing vitamin k o Keep the child on NPO status for 8 hr • A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend to include in the plan? o Keep the client’s daily protein intake below 0.8 g/kg o Position the client supine with his legs elevated o Measure the client’s abdominal girth daily o Restrict the clients sodium intake to 3 g per day • A nurse is reinforcing teaching with a client who has a prescription for antibiotic therapy. The client tells the nurse that he always experiences diarrhea when he takes antibiotics. Which of the following food choices should the nurse recommend to lessen the occurence of diarrhea? o Apple juice o Ice cream o Coffee o o o Yogurt • • A nurse is assisting with the care of a client who has increased intracranial pressure following a closed head injury. Which of the following actions should the nurse take? o Monitor the client’s temperature every 4 hr o Wake the client every 6 to 8 hr o Elevate the head of the bed to 30 degrees o Place the client in lateral sim’s position • A nurse is assisting with the plan of care for a client who is in the third trimester of pregnancy and has ankle edema. Which of the following interventions should the nurse include in the client’s plan of care? o Administer diuretics o Limit fluid intake o Apply support stockings o Place on bedrest • A nurse is contributing to the plan of care for a client who is experiencing delirium. Which of the following interventions should the nurse recommend? o Remind the client of the day and time often Alternate daily caregivers Avoid discussing the client’s fears

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