a nurse is caring for a client who is postpartum and reports perineal pain which intervention should the nurse implement
Logo

Nursing Elites

ATI RN

ATI Exit Exam 2023 Quizlet

1. A nurse is caring for a client who is postpartum and reports perineal pain. Which intervention should the nurse implement?

Correct answer: A

Rationale: Administering analgesics as prescribed is the appropriate intervention for managing perineal pain in a postpartum client. Analgesics help to alleviate discomfort and promote the client's recovery. Applying a warm compress (choice B) may provide some relief, but it does not address the pain as effectively as analgesics. Encouraging ambulation (choice C) and positioning the client with the head elevated (choice D) are not directly related to addressing perineal pain.

2. While reviewing the monitor tracing of a client in labor, a nurse notes late decelerations. Which of the following interventions should the nurse perform?

Correct answer: B

Rationale: Repositioning the client onto her left side is the appropriate intervention when late decelerations are noted on the monitor tracing. This action helps increase uteroplacental blood flow by relieving pressure on the vena cava and aorta, improving fetal oxygenation. Administering oxygen via nasal cannula may be indicated for variable decelerations, not late decelerations. Administering an amnioinfusion is not the primary intervention for late decelerations. Providing reassurance to the client is important but addressing the underlying cause of late decelerations takes precedence.

3. What is the first action to take for a patient experiencing a seizure?

Correct answer: B

Rationale: The first action a nurse should take for a patient experiencing a seizure is to protect the patient's head. This is crucial to prevent head injuries during the seizure. Administering anticonvulsant medication may be necessary but is not the first action. Inserting an oral airway may cause injury as the patient may bite down during a seizure. Restraint is not recommended as it can lead to further harm.

4. A client at 10 weeks of gestation with a history of UTIs is receiving teaching from a nurse. Which of the following statements should the nurse include?

Correct answer: C

Rationale: The correct statement the nurse should include is to advise the client to empty their bladder after intercourse to help prevent UTIs. Emptying the bladder after intercourse helps reduce the risk of UTIs by flushing bacteria from the urethra. Choice A is incorrect as drinking water before and after intercourse is not specifically related to preventing UTIs. Choice B is incorrect as there is no direct correlation between orange juice consumption and UTI risk. Choice D is incorrect as taking a hot bath can actually increase the risk of UTIs by promoting bacterial growth.

5. A healthcare professional is preparing to administer enoxaparin to a client. Which of the following actions should the healthcare professional take?

Correct answer: B

Rationale: The correct answer is to inject the medication into the lateral abdominal wall when administering enoxaparin. This is the recommended technique to ensure proper absorption and prevent tissue damage. Choice A is incorrect because enoxaparin should be administered subcutaneously, not intramuscularly. Choice C is incorrect as massaging the injection site after administration is not recommended, as it can cause bruising and discomfort. Choice D is incorrect because the prefilled syringe should not be discarded after expelling the air bubble; it should be used for the injection.

Similar Questions

A nurse is caring for a client who is postoperative following a hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
A nurse is providing dietary teaching to a client who has cholecystitis. Which of the following foods should the nurse instruct the client to avoid?
Nurses caring for four clients. Which of the following client data should the nurse report to the provider?
A client with preeclampsia and postpartum hemorrhage is being cared for by a nurse. The nurse should recognize that which of the following medications is contraindicated?
A nurse is caring for a client who has undergone a bronchoscopy. Which assessment finding requires immediate intervention?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses