ATI

An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient’s pain? a. Assess the patient’s body language. b. Ask the patient to rate the level of pain. c. Observe the cardiac monitor for increased heart rate. d. Have the patient describe the effect of pain on the ability to cope. ANS: B One of the most subjective and therefore most useful characteristics for reporting pain is its severity. Therefore, the best way to assess a ...

Redness at coccyx and patient is immobile - Assess for blanching Patient has IV catheter for right mastectomy, which veins do you select? - Cephalic vein left distal forearm Colorectal cancer prevention guidelines for patient teaching - Reduce intake of red meat Applying catheter to a patient who is uncircumsized - Roll the foreskin down, apply condom and then and roll back up afterwards - Place adhesive tape directly on the top If patient have an Artificial eye - Teach patient to...

1. Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient (select all that apply)? a) Assess for depression. b) Review laboratory results. c) Determine food preferences. d) Inspect teeth and oral mucosa. e) Ask about transportation needs. ANS: A, B, D, E The laboratory results, especially albumin and cholesterol levels, may indicate chronic poor protein intake or high-fat or high-cholesterol intake. Transportation affects the patient’s a...

A- social withdrawal B- chronic physical disability C- emotional impairment D- cognitive dysfunction ATI GERONTOLOGY EXAM Answer- b Physical disability is the most common reason older adult clients have difficulty performing ADLs. Self-care deficit, the nursing diagnosis that describes the inability of the client to perform self-care activities necessary for optimum health and function,is associated with several physical etiologic factors: activity intolerance, pain, neuromuscular ...

1. The nurse is preparing a patient for surgery. Which goal is a priority for assessing the patient before surgery? a. Plan for care after the procedure. b. Establish a patient’s baseline of normal function. c. Educate the patient and family about the procedure. d. Gather appropriate equipment for the patient’s needs. ANS: B The goal of the preoperative assessment is to identify a patient’s normal preoperative function and the presence of any risks to recognize, prevent, and...