ATI Comprehensive Practice 2020 A

ATI Comprehensive Practice 2020 A/ 16. a nurse is caring for a client who is 12 hours postoperative, is receiving PCA for pain control, and requires a blood pressure check in 10 min. which of the following staff members should the nurse assign to collect the infor- mation?: An assistive personnel (AP) who is assisting a client to return to bed 17. a nurse is creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count of 400/mm^3. which of the follow- ing interventions should the nurse include in the plan?: withhold administering the varicella vaccine to the child - it is a live vaccine and should not be given 18. a nurse is providing teaching about improving nutrition for a client who has multiple sclerosis. which of the following instructions should the nurse include? select all: A speech pathologist will be performing a swallowing study for you you should rest before eating meal thicken your beverage before drinking 19. a nurse is assessing a client who has schizophrenia and is taking chlor- promazine. which of the following findings is the priority for the nurse to report to the provider?: temperature 39.4 (102.9) 20. a client is receiving lorazepam IV for panic attacks and develops a res- piratory rate of 6/min and a blood pressure of 90/44 mm Hg. Which of the following medications should the nurse anticipate administering?: flumazenil 21. a nurse is caring for an older adult client in the PACU following general anesthesia. which of the following findings should the nurse report to the provider?: audible stridor 22. a nurse is preparing a sterile field in order to insert an indwelling urinary catheter for a male client. which of the following techniques should the nurse use to maintain surgical aseptic technique?: set the catheter tray on the overbed table at waist height 23. a nurse is planning care for a client who has a deficit with cranial nerve II. which of the following actions should the nurse plan to take?: clear objects from the clients walking area 24. a nurse is providing discharge instructions to a client following a total hip arthroplasty. which of the following instructions should the nurse include?- : install a raised toilet seat at home 25. a nurse is assessing a client who is receiving a blood transfusion. which of the following findings should indicate to the nurse that the client is having a hemolytic transfusion reaction?: low back pain