A nurse is reviewing the medical records of a group of older adult clients. The nurse should identify which of the following as a risk factor for developing infections?

Questions 48

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ATI LPN Test Bank

PN ATI Capstone Fundamentals Quiz Questions

Question 1 of 9

A nurse is reviewing the medical records of a group of older adult clients. The nurse should identify which of the following as a risk factor for developing infections?

Correct Answer: B

Rationale: Lowered immune system function in older adults increases susceptibility to infections.

Question 2 of 9

A nurse receives a report from an assistive personnel that a client's BP is 160/95. What should the nurse do first?

Correct Answer: B

Rationale: The nurse should first reassess the client's BP to confirm the reading before taking any further action.

Question 3 of 9

A nurse is performing a focused assessment for a client who has dysrhythmias. What indicates ineffective cardiac contractions?

Correct Answer: B

Rationale: A pulse deficit indicates ineffective cardiac contractions and the presence of cardiac dysrhythmias.

Question 4 of 9

A nurse is providing discharge teaching to a client who has a prescription for home oxygen. Which information should the nurse teach?

Correct Answer: B

Rationale: Wearing cotton socks helps prevent static electricity, which poses a fire risk when using oxygen.

Question 5 of 9

A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. Which of the following client information should the nurse identify as a contributing factor?

Correct Answer: A

Rationale: Recurring bowel inflammation can decrease gastrointestinal motility, affecting the absorption of oral medications.

Question 6 of 9

A nurse is assisting with meal planning for a client who has been prescribed a mechanical soft diet. The nurse should instruct the client to avoid which of the following foods?

Correct Answer: C

Rationale: Orange slices have membranes that are hard to swallow, which can be problematic for clients on a mechanical soft diet.

Question 7 of 9

A nurse is teaching a client about the correct use of a cane. What should the nurse include?

Correct Answer: B

Rationale: The cane should be held on the stronger side to provide support and stability while walking.

Question 8 of 9

A nurse is preparing to transfer a client from a chair to the bed. The client can bear partial weight and has upper body strength. Which device should the nurse use?

Correct Answer: B

Rationale: A stand-assist lift is appropriate for patients who can bear partial weight and have upper body strength.

Question 9 of 9

A nurse is admitting a client who has meningococcal meningitis. What should the nurse do first?

Correct Answer: A

Rationale: Initiating droplet precautions is crucial to prevent the spread of infection, especially in cases of meningococcal meningitis.

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