ATI LPN
LPN Fundamentals of Nursing Quizlet Questions
Question 1 of 5
A client with dysphagia and at risk for aspiration needs care planning. Which intervention should the nurse include in the plan?
Correct Answer: D
Rationale: Placing the client in Fowler's position is crucial in preventing aspiration as it helps maintain an open airway and reduces the risk of food or liquid entering the lungs during swallowing. This position promotes safer swallowing and minimizes the chances of aspiration pneumonia.
Question 2 of 5
A client has a new prescription for a potassium-sparing diuretic. Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: Clients on potassium-sparing diuretics need to avoid high-potassium foods to prevent hyperkalemia. Apples are a low-potassium fruit, making them a suitable recommendation for clients on this type of diuretic.
Question 3 of 5
A client has a prescription for a 24-hour urine collection. Which of the following actions should be taken by the healthcare provider?
Correct Answer: A
Rationale: Discarding the first voiding is necessary when initiating a 24-hour urine collection to ensure that the collection starts with an empty bladder. This step helps in obtaining an accurate measurement of substances excreted over the 24-hour period without any carryover from the previous voids. Keeping the urine at room temperature or in a sterile container is not specific to the initiation of the collection. Therefore, the correct action is to discard the first voiding.
Question 4 of 5
When assessing a client with diabetes mellitus experiencing DKA, which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Kussmaul respirations are a type of deep and labored breathing pattern associated with severe metabolic acidosis, commonly observed in diabetic ketoacidosis (DKA). In DKA, the body tries to compensate for the acidic environment by increasing the respiratory rate, resulting in Kussmaul respirations. This helps eliminate excess carbon dioxide and reduce the acidity of the blood.
Question 5 of 5
A client has a stage 1 pressure ulcer on the right heel. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Applying a transparent dressing over the heel is beneficial as it can protect the ulcer from friction and shear, and allow for continuous observation of the wound. This intervention promotes healing and prevents further damage to the skin.
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