Client Comfort and End of Life Care ATI

ATI RN · Client Comfort and End of Life Care ATI

Question 1 of 33

A nurse assesses a terminally ill patient with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations. Based on these findings, the nurse recognizes which of the following?

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ATI RN · Client Comfort and End of Life Care ATI

Question 2 of 33

The responsibility of taking a 47-year-old female client's vital signs who was diagnosed with right breast cancer post-mastectomy has been assigned to the newly graduated nurse. Which of the following vital sign procedures should be considered?

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ATI RN · Client Comfort and End of Life Care ATI

Question 3 of 33

What is the term for the change that takes place in response to a stressor?

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ATI RN · Client Comfort and End of Life Care ATI

Question 4 of 33

A patient who previously was a smoker has recently stopped smoking but reports having a lot of trouble sleeping at night. How would the nurse respond?

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ATI RN · Client Comfort and End of Life Care ATI

Question 5 of 33

Which client is most likely to develop a potassium level of 6.2 mEq/L (6.2 mmol/L)?

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ATI RN · Client Comfort and End of Life Care ATI

Question 6 of 33

The nurse would expect a client with somatic pain to report which of the following?

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ATI RN · Client Comfort and End of Life Care ATI

Question 7 of 33

Nurse Margareth is revising a client's care plan. During which step of the nursing process does such revision take place?

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ATI RN · Client Comfort and End of Life Care ATI

Question 8 of 33

A client asks the nurse how aspirin relieves pain. What would be the basis of the nurse's response?

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ATI RN · Client Comfort and End of Life Care ATI

Question 9 of 33

The nurse is caring for a client who reports chronic pain that is worse in the morning. What would the nurse suggest?

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ATI RN · Client Comfort and End of Life Care ATI

Question 10 of 33

A friend has lost her job and is becoming increasingly anxious to the point of crisis. What type of crises is she experiencing?

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ATI RN · Client Comfort and End of Life Care ATI

Question 11 of 33

A nurse assesses a patient who is being given an opioid analgesic and finds the patient unresponsive to shaking or other stimuli. What drug might be ordered to reverse this state?

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ATI RN · Client Comfort and End of Life Care ATI

Question 12 of 33

A nurse who provides bereavement counseling is working with the family of a child who recently died from cancer. Which of the following statements may be a common expression of grief and guilt by a family member?

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ATI RN · Client Comfort and End of Life Care ATI

Question 13 of 33

If a nurse assessed the vital signs of a person who was in the initial alarm reaction stage (shock phase) of the GAS, what would be the expected findings?

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ATI RN · Client Comfort and End of Life Care ATI

Question 14 of 33

A client who has just returned from surgery refuses additional pain medication despite reporting severe pain. What would the nurse do first?

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ATI RN · Client Comfort and End of Life Care ATI

Question 15 of 33

What is the rationale for using CPAP to treat sleep apnea?

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ATI RN · Client Comfort and End of Life Care ATI

Question 16 of 33

What is a key focus in end-of-life care?

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ATI RN · Client Comfort and End of Life Care ATI

Question 17 of 33

The wife of an elderly man has recently died. The couple was married for 32 years. What part of the mans self-concept may be influenced by this loss?

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ATI RN · Client Comfort and End of Life Care ATI

Question 18 of 33

What is comfort according to Kolcaba's theory?

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ATI RN · Client Comfort and End of Life Care ATI

Question 19 of 33

Which of the following expected outcomes demonstrates the effectiveness of a plan of care to promote rest and sleep?

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ATI RN · Client Comfort and End of Life Care ATI

Question 20 of 33

A client diagnosed with Cushing's disease has a potassium level of 2.3 mEq/L (2.3 mmol/L). Based on the result, which pattern would the nurse be monitoring for on the cardiac monitor?

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ATI RN · Client Comfort and End of Life Care ATI

Question 21 of 33

An adolescent rapidly develops secondary sex characteristics and body changes. What should the nurse assess to determine how these changes might affect the adolescents self-concept?

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ATI RN · Client Comfort and End of Life Care ATI

Question 22 of 33

A nurse teaches a patient deep-breathing exercises to help control his anxiety. This is considered what type of stress management technique?

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ATI RN · Client Comfort and End of Life Care ATI

Question 23 of 33

Which of the following would the nurse most expect to find when assessing a client with acute pain?

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ATI RN · Client Comfort and End of Life Care ATI

Question 24 of 33

A client asks the nurse why pain medication is given around-the-clock for the first few days after surgery rather than just when the pain is severe. What would be the basis of the nurse's response?

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ATI RN · Client Comfort and End of Life Care ATI

Question 25 of 33

A newly hired charge nurse assesses the staff nurses as competent individually but ineffective and nonproductive as a team. In addressing her concern, the charge nurse should understand that the usual reason for such a situation is:

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ATI RN · Client Comfort and End of Life Care ATI

Question 26 of 33

Which of the following is a nonpharmacological intervention for pain?

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ATI RN · Client Comfort and End of Life Care ATI

Question 27 of 33

Which intervention is an example of primary prevention?

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ATI RN · Client Comfort and End of Life Care ATI

Question 28 of 33

Using Abraham Maslow's hierarchy of human needs, a nurse assigns highest priority to which client need?

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ATI RN · Client Comfort and End of Life Care ATI

Question 29 of 33

Which of the following persons is responsible for handling and filing a death certificate with proper authorities?

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ATI RN · Client Comfort and End of Life Care ATI

Question 30 of 33

A child with a leg cast tells the nurse that he has pain inside his cast. What type of pain is this most likely to be?

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ATI RN · Client Comfort and End of Life Care ATI

Question 31 of 33

Which of the following nursing diagnoses reflects disturbance in self-concept as the etiology?

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ATI RN · Client Comfort and End of Life Care ATI

Question 32 of 33

A nurse is assessing the vital signs of a patient who is moaning with pain. What would be the expected findings?

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ATI RN · Client Comfort and End of Life Care ATI

Question 33 of 33

A nurse is caring for a patient who is sleeping for abnormally long periods of time. This condition may be caused by injury to which of the following body structures?

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