ATI RN VATI Fundamentals S 2019 Final | Nurselytic

Questions 57

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ATI RN VATI Fundamentals S 2019 Final Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is at risk for pressure injury formation due to immobility. The nurse should place the client in which of the following positions to reduce pressure on the client's bony prominences?

Correct Answer: A

Rationale: The correct answer is A: 30° lateral. Placing the client in a 30° lateral position helps redistribute pressure away from bony prominences, reducing the risk of pressure injury formation. This position relieves pressure on areas such as the sacrum and heels, promoting better blood flow and tissue perfusion. Lateral positions also decrease the shear and friction forces that can contribute to skin breakdown.


Choice B: Lateral semi-prone recumbent, while also a lateral position, is not as effective in reducing pressure on bony prominences compared to a 30° lateral position.


Choice C: Supine position does not effectively reduce pressure on bony prominences as it may put more pressure on the sacrum and heels.


Choice D: 45° supported Fowler's position is more suitable for respiratory support and comfort, but it does not specifically target pressure reduction on bony prominences as effectively as a 30° lateral position.

Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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