ATI RN Fundamentals Online Practice 2023 B | Nurselytic

Correct Answer: C,A,D,B

Rationale:
Correct Answer: C, A, D, B


Rationale:
1. Injecting air into the bottle of NPH insulin (
C) prevents a vacuum from forming when you withdraw the dose.
2. Injecting air into the bottle of regular insulin (
A) prevents negative pressure, making it easier to withdraw the dose.
3. Withdraw the correct dose of regular insulin (
D) first to avoid contamination.
4. Withdraw the correct dose of NPH insulin (
B) last as it is a longer-acting insulin, ensuring proper mixing and administration.

Summary:
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Choice A is incorrect as air should be injected into the NPH insulin bottle first.
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Choice B is incorrect as NPH insulin should be drawn last.
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Choice D is incorrect as regular insulin should be drawn before NPH insulin.
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Choice E, F, and G are not relevant to the correct order of steps.

Correct Answer: C

Rationale: Correct answer: C. Make sure two fingers can fit under the sleeves.


Rationale: Ensuring two fingers can fit under the sleeves helps prevent restricting circulation and ensures proper fit for effective compression therapy. This allows for adequate circulation while providing the necessary compression to prevent blood clots postoperatively.

Summary of other choices:
A: Assisting the patient into a prone position is not necessary for applying thigh-length compression sleeves.
B: Placing the sleeve with the opening facing up is incorrect as it may hinder the proper functioning of the sequential compression device.
D: Setting ankle pressure at 65 mm Hg is incorrect as the focus should be on ensuring proper fit rather than specific pressure settings.

Correct Answer: C

Rationale: The correct answer is C: 8 oz of ice chips. In clinical settings, fluids are typically measured in milliliters. 1 oz is approximately 30 mL, so 8 oz of ice chips would be equivalent to 240 mL of fluid. Ice chips are considered a liquid at room temperature and will eventually melt into liquid form, contributing to the client's fluid intake.

Choices A, B, and D are incorrect because they are not equivalent to 120 mL of fluid.
Choice A, 2 cups of soup, is approximately 480 mL.
Choice B, 1 quart of water, is approximately 946 mL.
Choice D, 6 oz of tea, is equivalent to 180 mL.
Therefore, the most accurate option is C based on the given measurement.

Correct Answer: D

Rationale: The correct answer is D: Reassure the client that this is an expected response to grief. This option acknowledges the client's feelings of anger and normalizes their response, showing empathy and understanding. By reassuring the client, the nurse validates their emotions and helps establish a therapeutic relationship.

A: Discussing risk factors for colon cancer may not address the client's immediate emotional needs of dealing with anger and grief.
B: Focusing on teaching future management may be premature at this stage when the client is still processing their emotions.
C: Providing written information about phases of loss and grief may be helpful, but it does not directly address the client's current expression of anger.
Summary: Option D is the best choice as it prioritizes addressing the client's emotional needs and building rapport. Options A, B, and C do not effectively address the client's current emotional state.

Correct Answer: A

Rationale: The correct answer is A: Use a bed exit alarm system. This intervention helps to prevent patient falls by alerting the nurse when the patient attempts to leave the bed unsafely. It promotes early intervention and reduces the risk of injury. Raising four side rails (
B) may restrict the patient's movement excessively and could lead to entrapment. Applying a soft wrist restraint (
C) may cause discomfort and compromise the patient's circulation. Dimming the lights (
D) does not directly address the risk of injury.