a nurse is planning for a client who practices orthodox judaism the client tells the nurse that he cannot eat certain foods during the passover holida
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Nursing Elites

ATI RN

ATI Exit Exam 2024

1. A client who practices Orthodox Judaism informs the nurse that he cannot eat certain foods during the Passover holiday. Which of the following actions should the nurse include in the plan of care?

Correct answer: C

Rationale: During the Passover holiday, individuals practicing Orthodox Judaism adhere to specific dietary restrictions, which include consuming unleavened bread. Providing unleavened bread aligns with the client's religious beliefs and dietary requirements. Choices A, B, and D are incorrect. Serving chicken with cream sauce, avoiding fish with fins and scales, and avoiding foods containing lamb are not directly related to the dietary restrictions observed during the Passover holiday in Orthodox Judaism.

2. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take?

Correct answer: C

Rationale: In this situation, speaking assertively is the most appropriate action for the nurse to take. Confronting the client may escalate the situation further. Expressing sympathy, although important in other contexts, may not be effective in managing aggressive behavior. Standing within close proximity to an aggressive client can compromise the nurse's safety. Therefore, speaking assertively helps to set clear boundaries and manage the situation while ensuring safety in a seclusion room.

3. A client with Raynaud's disease is being cared for by a nurse. What intervention should the nurse implement?

Correct answer: C

Rationale: The correct intervention for a client with Raynaud's disease is to provide information about stress management. Stress can trigger Raynaud's episodes, so managing stress can help reduce the frequency and severity of the condition. Maintaining a warm temperature in the client's room (Choice A) is important to prevent vasoconstriction and worsening of symptoms. Administering epinephrine (Choice B) is not a standard treatment for Raynaud's disease. Giving glucocorticoid steroids (Choice D) is not the primary treatment for Raynaud's disease and is not typically prescribed for this condition.

4. A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following statements should the nurse include?

Correct answer: B

Rationale: The correct statement the nurse should include when teaching a client taking clopidogrel is to monitor for signs of infection. Clopidogrel affects platelet levels and can increase the risk of bleeding. Monitoring for signs of infection is crucial because a compromised immune system can make the client more susceptible to infections. Choices A, C, and D are incorrect because clopidogrel is not directly linked to alcohol restrictions, food requirements, or specific water intake instructions.

5. A client has a new prescription for digoxin. Which of the following instructions should the nurse include?

Correct answer: C

Rationale: The correct answer is C: 'Notify your provider if you experience visual disturbances.' Visual disturbances can indicate digoxin toxicity, so it is essential for clients taking digoxin to report any changes in vision to their healthcare provider. Option A is incorrect because the timing of digoxin administration is crucial, usually in the morning. Option B is inaccurate because digoxin should not be taken with milk as it can affect its absorption. Option D is not directly associated with digoxin use and should not be the priority instruction for a client on this medication.

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