ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is
B) Left lower extremity tenderness. This finding should be identified as the priority because it could indicate a deep vein thrombosis (DVT), which is a potentially life-threatening complication of prolonged bed rest. DVT can lead to pulmonary embolism if the clot dislodges and travels to the lungs. The nurse should prioritize assessing for signs and symptoms of DVT such as tenderness, redness, warmth, and swelling in the affected extremity. Loss of appetite, increased heart rate during physical activity, and musculoskeletal weakness are important considerations but do not pose an immediate threat to the client's health compared to a potential DVT.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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