ATI Comprehensive 2023 With NGN 180 Questions And Answers | Nurselytic

Questions 160

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ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions

Extract:

A nurse is caring for a client in the active phase of labor who has decided to have a natural childbirth.


Question 1 of 5

Which pain management technique should the nurse suggest?

Correct Answer: B

Rationale: Breathing techniques are effective for managing pain during natural childbirth.

Extract:

A nurse is caring for a newborn.
Nurses' Notes
0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm (14 in)
Respiratory rate 68/min, with mild grunting.
0650:
Respiratory rate 72/min, with mild grunting
0700:
Respiratory rate 76/min, with moderate grunting and mild intercostal retractions.


Question 2 of 5

The client is at risk for developing------- and----

Correct Answer: B,D

Rationale: Transient tachypnea and hypopycemia are common risks in newborns with respiratory distress.

Extract:

A nurse is caring for a client who has diabetes mellitus and is receiving long-acting insulin for blood glucose management.


Question 3 of 5

Which type of insulin should the nurse anticipate administering?

Correct Answer: A

Rationale: The correct answer is A: Glargine insulin. Glargine is a long-acting insulin with a flat and consistent action profile, providing basal insulin coverage. This type of insulin is typically administered once daily at the same time each day to maintain a consistent level of insulin in the body. Regular insulin (
B) is short-acting and is typically taken before meals to cover blood sugar increases from eating. NPH insulin (
C) is intermediate-acting and requires twice daily dosing. Insulin aspart (
D) is a rapid-acting insulin used to control postprandial glucose levels. In this scenario, glargine insulin is the most appropriate choice for basal insulin coverage.

Extract:

A nurse manager is updating protocols for the use of belt restraints.


Question 4 of 5

Which of the following guidelines should the nurse include?

Correct Answer: A

Rationale: The correct answer is A: Document the client's condition every 15 minutes. This guideline is crucial to ensure the client's safety and well-being when using restraints. Documenting the client's condition regularly allows the nurse to monitor for any changes or signs of distress promptly. This frequent monitoring helps prevent complications or harm that may arise from the use of restraints.

Explanation for why the other choices are incorrect:
B: Attaching the restraint straps to the side rails of the bed can be dangerous as it may cause entrapment or injury to the client.
C: Using a square knot to secure the restraint is not recommended as it can be difficult to untie quickly in case of an emergency.
D: Ensuring there is at least a 2-inch gap between the restraint and the client's body is incorrect because restraints should be applied securely to prevent the client from slipping out or causing self-harm.

Extract:

A nurse is consulting A pharmacological reference about medication compatibility prior to administering warfarin to a client.


Question 5 of 5

Which of the following medications should the nurse identify as being incompatible with warfarin?

Correct Answer: A

Rationale: The correct answer is A: Naproxen. Naproxen is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase the risk of bleeding when taken with warfarin, a blood thinner. Warfarin works by inhibiting clotting factors, and NSAIDs can interfere with this mechanism, leading to an increased risk of bleeding. Metformin, Lisinopril, and Albuterol do not have significant interactions with warfarin, making them compatible.

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