ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The nurse performs an assessment during a fluid exchange for the client who is 48 hours post-insertion of an abdominal Tenckhoff catheter for peritoneal dialysis. The nurse knows that the appearance of which of the following needs to be reported to the provider immediately?
Correct Answer: D
Rationale: Cloudy drainage suggests infection (peritonitis), a serious complication requiring immediate attention.
Question 2 of 5
The provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. The nurse instructs the client to discontinue the medication and contact the provider if which of the following symptoms occur?
Correct Answer: D
Rationale: Tinnitus is an early sign of aspirin toxicity, requiring immediate cessation.
Question 3 of 5
A client is receiving digitalis. The nurse should instruct the client to report which of the following side effects?
Correct Answer: A
Rationale: These are early signs of digitalis toxicity, requiring prompt reporting.
Question 4 of 5
A 36 year-old female client has a hemoglobin level of 14 g/dl and a hematocrit of 42% following a D&C. Which of the following would the nurse expect to find when assessing this client?
Correct Answer: A
Rationale: Normal Hgb (12-16 g/dl) and Hct (36-48%) suggest no significant blood loss; brisk capillary refill is expected.
Question 5 of 5
The nurse is caring for a client with end-stage heart failure. The family members are distressed about the client's impending death. What action should the nurse do first?
Correct Answer: C
Rationale: Assessing coping patterns informs tailored support, making it the priority step.