ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at the end of life. Vital Signs: Temperature 38.5°C (101.3°F), Blood pressure 76/46 mm Hg, Heart rate 112/min, Respiratory rate 34/min, irregular, Pulse oximetry 84% on 40% humidified face mask. Which of the following 3 actions should the nurse plan to take?
Correct Answer: B,C,D
Rationale:
Correct
Answer: B, C, D
Rationale:
B: Turning the client on their side helps prevent aspiration in case of vomiting due to the decreased level of consciousness.
C: Placing a fan to blow lightly toward the client can provide comfort and help with air circulation.
D: Administering an opioid narcotic can help manage pain and provide comfort in end-of-life care.
Incorrect
Choices:
A: Telling the client there is nobody else in the room is not a priority in addressing the client's physiological needs.
E: Providing deep nasotracheal suctioning is invasive and not indicated unless there is a clear need for airway clearance.
In summary, the correct actions focus on maintaining the client's comfort, safety, and symptom management during end-of-life care, while the incorrect actions are either not relevant or potentially harmful in this context.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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