ATI COMPREHENSIVE C

ATI COMPREHENSIVE C

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. 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 of care?

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 hr

d.      Administer analgesics on a scheduled basis for the first 24 hr

3.              A nurse 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.            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 extremities

d.      A client who has a hip fracture and a new onset of tachypnea