NEW GENERATION ATI RN HESI EXIT EXAM REMEDIATION | REAL EXAMS

NEW GENERATION ATI RN HESI EXIT EXAM REMEDIATION | REAL EXAMS

The nurse is caring for a client who has a fiberglass long leg cast on the right
leg. Which nursingactions should be implemented in the cast care of this
client? SATA
a) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four
hours.
c) Using a soft cotton-tipped 6-inch swab to help scratch beneath the cast.
d) Placing the nurse's finger in the client's cast while performing cast care.
e) Covering the perineal area of the cast with plastic before client uses the
fracture bedpan.
a) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and
toes every four hours.d) Placing the nurse's finger in the client's
cast while performing cast care.
e) Covering the perineal area of the cast with plastic before client uses the
fracture bedpan.
Rationale
Cast care should include ensuring the cast is not too tight, by placing a finger
between the client'sskin and cast; by protecting the cast from being soiled by
placing a protective plastic covering in the perineal area before the client
uses a bedpan; by smelling for a foul odor coming from the cast; by palpating
for hot spots on the cast every shift; and by performing neurovascular checks
distal to the cast every four hours. Nothing should be placed in the cast to
facilitate scratching beneath the cast.
The nurse is caring for an older client being treated for a cardiac condition
who has developed"dry eyes". Which medication may be contributing to this
condition?
a) Procainamide (Procanbid).
b) Iron supplements.
c) Atenolol (Tenormin).
d) Lipitor (Atorvastatin). c) Atenolol (Tenormin).
Rationale
Dry eyes is an annoying side effect of some medications that can cause a
client to feel like theyhave something in their eye or a continuous scratchy
sensation. This condition can cause eye strain and discomfort to a client.
Clients prescribed Atenolol for hypertension are at risk of developing dry eyes
as a side effect of the medication.
The UAP is assisting a client getting into the shower. The charge nurse
answers a call from the cast clinic to immediately send the UAP's other
assigned client to the clinic. Which action shouldthe nurse take?
a) Ask the UAP to find another team member to take the client to the clinic.
b) Notify the delegating nurse of the current request from the cast clinic.
c) Instruct the UAP to take the client to clinic after helping the other client taking a
shower.
d) While the client is showering the UAP should take the other client to cast clinic.
b) Notify the delegating nurse of the current request from the cast
clinic.Rationale
The charge nurse should notify the delegating nurse of the situation. The third
principle of delegation is "The person to whom the assignment was delegated
cannot delegate that assignment to someone else... the delegating nurse needs to
be notified and reassign the task..."

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