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

Questions 48

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ATI LPN Test Bank

PN ATI Capstone Fundamentals Quiz Questions

Question 1 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 2 of 9

A nurse is caring for a client who has an indwelling urinary catheter. What should the nurse identify as a sign of catheter occlusion?

Correct Answer: A

Rationale: Bladder distention indicates the inability to empty the bladder, which can be a sign of catheter occlusion.

Question 3 of 9

A community health nurse is teaching a group of clients about first aid for different types of wounds. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: A

Rationale: Applying clean dressings over blood-saturated dressings and holding pressure helps prevent disruption of wound tissue.

Question 4 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 5 of 9

A nurse is caring for a client who has a prescription for a narcotic medication. After administration, the nurse is left with an unused portion. What should the nurse do?

Correct Answer: C

Rationale: Controlled substances should be discarded in the presence of another nurse to ensure accountability.

Question 6 of 9

A nurse is reviewing the health history of an older adult who has a hip fracture. The nurse should identify what is a risk factor for developing pressure injuries?

Correct Answer: B

Rationale: Urinary incontinence is a risk factor for skin breakdown and pressure injuries.

Question 7 of 9

A nurse is monitoring a client who has been receiving intermittent enteral feedings. What should the nurse identify as an intolerance to the feeding?

Correct Answer: B

Rationale: Nausea is a sign of intolerance to enteral feedings, which may also include vomiting and dumping syndrome.

Question 8 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 9 of 9

A nurse is assessing the IV infusion site of a client who reports pain at the site. The site is red and there is warmth along the course of the vein. What should the nurse do?

Correct Answer: C

Rationale: The symptoms suggest phlebitis. The nurse should discontinue the infusion and may apply a warm compress.

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