The nurse is caring for a client with a spinal cord injury who is at risk for deep vein thrombosis (DVT). Which intervention should the nurse implement?

Questions 80

ATI LPN

ATI LPN Test Bank

LPN Fundamentals Practice Test Questions

Question 1 of 5

The nurse is caring for a client with a spinal cord injury who is at risk for deep vein thrombosis (DVT). Which intervention should the nurse implement?

Correct Answer: A

Rationale: Sequential compression devices (A) prevent DVT in immobile SCI patients. Active exercise (B) isn't feasible. Anticoagulants (C) need orders. Massage (D) risks emboli. A is correct. Rationale: Compression enhances venous return, reducing stasis, per DVT prophylaxis in SCI, a standard intervention.

Question 2 of 5

A client asks you how to best prevent vaginal infections. Your best answer would include which of the following statements?

Correct Answer: B

Rationale: Explaining that vaginal pH stops many bacteria is true and educational, highlighting the body's natural defense against infections like bacterial vaginosis. Vinegar douches disrupt this balance, cranberry juice aids urinary health not vaginal, and medications aren't preventive norms. This empowers the client with knowledge, a key nursing role in infection prevention.

Question 3 of 5

The nurse receives a report at the beginning of the shift and learns that the client scores 7 on the Glasgow Coma Scale. The nurse realizes that this client is at which of the following levels of consciousness?

Correct Answer: A

Rationale: A Glasgow Coma Scale score of 7 indicates coma minimal responsiveness below 8. Higher scores denote disability or alertness. Nurses assess this for neurological status.

Question 4 of 5

The nurse is taking the client's blood pressure. The physician asks for the pulse pressure. To obtain the pulse pressure, the nurse will have to do which of the following things?

Correct Answer: B

Rationale: Pulse pressure is systolic minus diastolic pressure, reflecting arterial force, not requiring machines or pulse rates. Nurses calculate this for cardiovascular insight.

Question 5 of 5

Which intervention is important for maintaining the safety of an immobile patient?

Correct Answer: D

Rationale: Implementing fall prevention measures is critical for an immobile patient's safety, involving tools like bed alarms, low beds, or assistance during transfers to mitigate risks in a controlled environment. Immobile patients can't walk independently, so promoting frequent movement isn't feasible and could increase danger. Physical or soft restraints, while sometimes considered, are last-resort options due to ethical and safety concerns, not primary safety strategies. Fall prevention directly addresses the vulnerability of those unable to reposition themselves, reducing injury risk a key nursing responsibility. This approach ensures a safe setting, balancing protection with patient dignity, and aligns with evidence-based practice to minimize harm in immobile populations.

Access More Questions!

ATI LPN Basic


$89/ 30 days

ATI LPN Premium


$150/ 90 days

Similar Questions