ATI ASN Fundamentals NSG 1550 Exam 2
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Free ATI ASN Fundamentals NSG 1550 Exam 2 Questions
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Crush enteric-coated tablets to ensure easier passage through the tube.
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Flush the tube with 15 mL – 30 mL of water before and after giving medications.
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Mix all medications together with 60 mL of water before administration.
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Give medications quickly to minimize the time the tube is open.
Explanation
Correct Answer: B) Flush the tube with 15 mL – 30 mL of water before and after giving medications.
Flushing the gastrostomy tube with water before and after giving medications ensures the tube remains patent (open) and helps clear the tube of any medication residue. This is a standard practice to prevent blockages and ensure proper medication administration. Water also ensures the medications move efficiently through the tube. Additionally, flushing can prevent the buildup of thick medication remnants, which could clog the tube. This action is essential for safe and effective gastrostomy tube use.
- 1 cup of coffee (8 oz) at breakfast
- 8 oz of orange juice at breakfast
- 4 oz of water with medications
The client voided 600 mL of clear yellow urine during the same shift. What is the client's fluid intake in milliliters (mL)? (numerical answers only)
- 600
Explanation
To calculate the client's fluid intake in milliliters (mL), we will convert all the items consumed into mL. Here is the breakdown:
1 cup of coffee (8 oz) = 240 mL
8 oz of orange juice = 240 mL
4 oz of water = 120 mL
Total fluid intake = 240 mL (coffee) + 240 mL (orange juice) + 120 mL (water) = 600 mL
Correct Answer: 600 mL
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Administer an oral barium preparation before the scan.
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Inform the client they may feel a warm sensation or metallic taste during contrast injection.
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Verify the client’s allergy history, especially for iodine or shellfish.
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Keep the client NPO for 4 hours prior to the procedure.
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Ensure renal function is assessed before administering contrast.
Explanation
Correct Answer: B, C, D, E
B) Inform the client they may feel a warm sensation or metallic taste during contrast injection: This is an important part of patient education. It prepares the client for common sensations during the CT scan procedure, ensuring they are not alarmed.
C) Verify the client’s allergy history, especially for iodine or shellfish: This is critical as patients who are allergic to iodine or shellfish are at an increased risk for allergic reactions to contrast media, which often contains iodine.
D) Keep the client NPO for 4 hours prior to the procedure: Keeping the client NPO (nothing by mouth) before the procedure minimizes the risk of aspiration and ensures that the stomach is empty for accurate imaging.
E) Ensure renal function is assessed before administering contrast: Kidney function is crucial when administering IV contrast because contrast agents are excreted through the kidneys. Renal impairment can increase the risk of contrast-induced nephropathy.
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"If the test is positive, it definitely means I have colon cancer."
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"I need to avoid red meat and certain raw vegetables before the test."
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"I will avoid eating dairy products."
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"I don't need to wear gloves since it's my own stool."
Explanation
Correct answer: B) "I need to avoid red meat and certain raw vegetables before the test."
The client’s understanding is correct if they avoid red meat and certain raw vegetables before the fecal occult blood test, as these foods can affect the accuracy of the test by causing a false positive result. The other options show misconceptions, such as assuming a positive result means cancer or unnecessary hygiene concerns.
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Replacing all furniture with low-profile pieces.
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Removing throw rugs and securing loose wires.
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Restricting the client’s activity to one area of the house.
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Installing dimmer lighting to prevent glare.
Explanation
Correct Answer: B) Removing throw rugs and securing loose wires.
Removing throw rugs and securing loose wires are critical safety measures for preventing falls in the home environment, especially for clients with impaired mobility. Throw rugs can easily cause tripping, and unsecured wires present a significant hazard as they may be difficult to notice or avoid.
Ensuring the environment is free from these hazards reduces the risk of falls, making it easier for the client to move safely. This intervention helps create a more stable and safe living space for recovery.
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Ignoring the dietary request since it is not a medical necessity and focusing on nutritional value only.
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Suggesting the client try the regular hospital menu but avoid certain items independently.
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Providing vegetarian meals without confirming if the client accepts vegetarian options within their kosher diet.
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Providing meals that avoid mixing meat and dairy products and ensuring foods are prepared according to kosher laws.
Explanation
Correct Answer: D) Providing meals that avoid mixing meat and dairy products and ensuring foods are prepared according to kosher laws.
Culturally competent nursing care involves respecting and accommodating patients’ religious and cultural practices whenever possible. Clients who follow kosher dietary laws avoid mixing meat and dairy products and require food to be prepared according to specific religious guidelines.
Providing meals that follow kosher rules demonstrates respect for the client’s beliefs and supports patient-centered care. Ignoring the request or making assumptions about acceptable alternatives does not respect the client’s religious dietary requirements and can compromise trust and cultural sensitivity in healthcare.
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At least one meal is delivered each day.
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All medications are in a labeled bottle and stored in a cabinet.
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The caregiver checks on the client at least once a day.
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The smoke detectors in the house do not work.
Explanation
Correct Answer: D) The smoke detectors in the house do not work.
Nonfunctioning smoke detectors represent a significant safety hazard in the home, particularly for older adults who may have limited mobility, slower reaction times, or chronic health conditions that make evacuation during a fire more difficult. Smoke detectors provide early warning of fire or smoke, allowing individuals time to escape safely or call for assistance. If smoke detectors are not working, the client may not be alerted to a dangerous situation until it is too late.
During a home safety assessment, the nurse must prioritize identifying hazards that pose immediate risks to the client’s safety. Ensuring that smoke detectors are functioning properly is a critical preventive measure that can reduce the risk of injury or death in the event of a fire. The nurse should recommend replacing batteries, repairing the device, or installing new smoke detectors to ensure the home environment is safe.
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A client on a low-fat diet following gallbladder removal 6 months ago.
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A client taking a stool softener daily and walking 30 minutes each evening.
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A client who eats three balanced meals per day and drinks 2,000 mL of fluid daily.
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A client recovering from a cerebrovascular accident (stroke) who requires assistance with ambulation.
Explanation
Correct Answer: D) A client recovering from a cerebrovascular accident (stroke) who requires assistance with ambulation.
Clients who have had a stroke often experience decreased mobility, muscle weakness, and possible neurological impairment affecting bowel function. Reduced physical activity slows intestinal motility, which increases the risk of constipation.
In addition, stroke clients may have difficulty with adequate fluid intake, dietary changes, or medications that further contribute to constipation. Limited mobility is one of the most significant risk factors for constipation in hospitalized patients, making this client the highest risk among the options.
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Provide thin liquids using a straw to increase intake.
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Withhold fluids to prevent aspiration risk.
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Offer thickened liquids and position the client upright during intake.
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Encourage rapid drinking to minimize fatigue.
Explanation
Correct Answer: C) Offer thickened liquids and position the client upright during intake.
For patients with dysphagia following a stroke, offering thickened liquids and positioning the client upright is a priority. Thickened liquids are less likely to cause aspiration and are safer for individuals with difficulty swallowing. Additionally, positioning the client in an upright position during intake reduces the risk of aspiration and facilitates safer swallowing by promoting better control of the liquids. This combination of interventions helps manage dysphagia and minimizes the risk of aspiration, ensuring the client’s safety while promoting hydration.
- 3 tablets
Explanation
Correct Answer: 3 tablets
To calculate how many tablets the nurse should administer, divide the prescribed dose (600 mg) by the amount of ibuprofen in each tablet (200 mg).
600 mg ÷ 200 mg = 3 tablets.
Therefore, the nurse should administer 3 tablets for one dose.
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