ATI N103N103 Fundamentals Final Exam | Nurselytic

Questions 79

ATI RN

Home > ATI RN > ATI Fundamentals > ATI N103N103 Fundamentals Final Exam
ATI RN Test Bank

ATI N103N103 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A client has an order for continuous bladder irrigation. What should the nurse do with the irrigation solution on the intake and output (I&O) sheet when calculating the fluid balance for this client?

Correct Answer: A

Rationale:
Correct
Answer: A


Rationale:
1. Continuous bladder irrigation is a procedure to prevent blood clots and ensure patency of the catheter.
2. The irrigation solution is not being absorbed by the body; it is solely used to flush the bladder.
3.
Therefore, the solution should be deducted from the total urine output to accurately calculate the client's fluid balance.
4. This ensures that only the actual urine output is considered in the I&O calculations.

Summary:
B: Subtracting it from the IV flow sheet as output is incorrect as the irrigation solution is not being infused intravenously.
C: Documenting the intake hourly in the urine output column is incorrect as this would overestimate the urine output.
D: Adding it to the oral intake column is incorrect as the irrigation solution is not being ingested orally.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

A nurse is auditing a client. During the assessment the nurse notes the client has multiple cavities chipped and missing teeth. The client reports having difficulty eating. Which diet should the nurse recommend the primary health care provider to order for this client?
A primary health care provider orders chest physiotherapy with percussion and vibration for a client. After the health care provider leaves, the client says, 'I still don't understand the purpose of this therapy.' Which statement should be included in the nurse's response?
A nurse is rounding on a client with bilateral wrist restraints. Which finding would warrant the nurse to loosen the restraints?
A nurse is caring for a client who is confused and uncooperative. The client hit the nurse when they attempted to give them their medication. The nurse asks the charge nurse if she can apply restraints on the client. The charge nurse should explain to the nurse this action is a violation of the client’s rights and is an example of which tort?
A nurse is preparing to assess a client. Which action should the nurse take to check cranial nerve VI?

Access More Questions!

ATI RN Basic

$89/ 30 days

 

ATI RN Premium

$150/ 90 days