ATI Fundamental Exams | Nurselytic

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Question 1 of 5

A nurse is assessing a client who has a wrist restraint applied. For which of the following findings should the nurse loosen the restraint?

Correct Answer: A

Rationale: The correct answer is A. When a client's hand is cool and pale, it may indicate poor circulation, which can lead to tissue damage or injury if the restraint is not loosened. The nurse should prioritize the client's safety and well-being by loosening the restraint to restore proper blood flow.

Choices B and D do not directly indicate the need to loosen the restraint for circulation concerns.
Choice C indicates the client's behavior but may not necessarily require loosening the restraint.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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