ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 5
Which of the following statements is an OBRA regulation that the nurse must keep in mind when considering applying a restraint to a client?
Correct Answer: B
Rationale: The Omnibus Budget Reconciliation Act (OBRA) mandates that a physician's order for restraints be time-limited, ensuring periodic reassessment to minimize use. This regulation protects clients from prolonged restriction, requiring justification and renewal, such as every 24 hours. Restraints aren't a first choice alternatives are prioritized and verbal orders need prompt signing, but time limits are key. Family objections don't legally veto if clinically warranted. This rule balances safety with rights, critical in nursing practice.
Question 2 of 5
To protect the client's skin from injury during hygiene care, including bathing or showering, application of lotion, and bed making, you most need to do which of the following things?
Correct Answer: D
Rationale: Short fingernails prevent skin injury during hygiene tasks, unlike covered jewelry, brisk drying (which irritates), or loose sheets (unrelated). Nurses prioritize this for client safety.
Question 3 of 5
The nurse visiting a client and the client's family in the home teaches family members to massage the client's back and enlists their aid in providing backrubs. Which of the following reasons most likely represents the main reason the nurse has enlisted the aid of the family?
Correct Answer: A
Rationale: Enlisting family for backrubs mainly reduces their helplessness, empowering them in care. Need, medication, or sleep benefits are secondary. Nurses foster this involvement.
Question 4 of 5
Which nursing intervention is important in preventing urinary complications in immobilized patients?
Correct Answer: C
Rationale: Implementing bladder training programs, with scheduled voiding, prevents urinary complications like retention or infections in immobilized patients by promoting bladder control and function. More fluids alone don't address voiding issues, while less assistance or constant bedpan use can worsen retention risks. Nurses use this to encourage continence, adapting care to immobility's impact on urinary health, ensuring complications are minimized through structured support.
Question 5 of 5
A client with congestive heart failure (CHF) experiences worsening dyspnea and peripheral edema. What is the primary indication for initiating oxygen therapy in this client?
Correct Answer: D
Rationale: Improving myocardial oxygenation (D) is the primary indication for oxygen therapy in CHF with worsening dyspnea, addressing myocardial ischemia from low oxygen supply. Reducing heart workload (A) is a benefit, not the goal. Edema (B) and fluid overload (C) require diuretics, not oxygen. Enhanced cardiac oxygenation supports pump function, per cardiology standards, critical in acute CHF exacerbations.