ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is cognitively impaired and repeatedly pulls on his NG tube. Which of the following actions should the nurse take before requesting a prescription for restraints? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct actions are A, B, C, and E.
A) Providing diversionary activities can distract the client from pulling on the NG tube.
B) Assisting with toileting at frequent intervals helps address any discomfort or restlessness that may be contributing to the behavior.
C) Involving the family can provide additional support and understanding of the client's needs. E) Using an electronic bed alarm device can alert the nurse when the client is attempting to pull on the NG tube, allowing for timely intervention. These actions focus on addressing the underlying reasons for the behavior and ensuring the client's safety without resorting to restraints, which should be a last resort due to ethical and legal considerations.
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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