ATI Review.docx - . " .Whichofthe

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A nurse is providing discharge teaching to the parent of a newborn who had  a circumcision using a PlastiBell device. Which of the following should the  nurse include in the teaching? " Change the diaper at least every 4 hours." A nurse is assisting a client who is in the second stage of labor. Which of the following actions by the nurse is appropriate in assisting the client with  effleurage? Have the client stroke the abdomen using circular motions during  contractions. A nurse is reviewing the laboratory findings for a full-term newborn who is  26 hr old. Which of the following findings should be reported to the  provider? A newborn who has a total serum bilirubin level of 8 mg/dL or greater at 1 day of  life should receive phototherapy. A nurse is caring for a client who is at 26 weeks of gestation. Which of the  following findings should the nurse report to the provider? Pitting edema of the ankles is a clinical manifestation of preeclampsia and should  be reported to the provider. A nurse is providing teaching to a client who is at 34 weeks of gestation  about possible complications of pregnancy. The nurse should instruct the  client to report which of the following to the provider? Dull, intermittent back pain can be a clinical manifestation of preterm labor and  should be reported to the provider. A nurse is providing education regarding management of diabetes during  pregnancy for a client who has type 1 diabetes mellitus and is receiving  insulin. Which of the following statements by the client should indicate to  the nurse a need for further teaching?
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The client should eat fewer carbohydrates at breakfast than other meals for better  blood glucose control. A nurse is caring for a postpartum client who is receiving continuous IV  heparin therapy for thrombophlebitis in her left calf. Which of the following  actions should the nurse take? The client should remain on bed rest to decrease the risk of pulmonary embolism. A nurse is assigning an Apgar score to a newborn. The nurse notes that the  newborn has a heart rate of 120/min, is crying vigorously with limbs flexed,  has a pink trunk, and has cyanotic hands and feet. Which of the following  scores should the nurse document? The nurse should obtain the Apgar score at 1 and 5 min after birth. The nurse  should document the Apgar score as follows: heart rate 2, respiratory effort 2,  muscle tone 2, reflex irritability 2, and color 1.
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