ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is immobile. Which prophylactic intervention would be used to prevent complications of immobility?
Correct Answer: A
Rationale:
Correct
Answer: A - Applying compression stockings
Rationale:
1. Compression stockings improve blood circulation in the lower extremities, reducing the risk of blood clots (deep vein thrombosis).
2. Immobility can lead to pooling of blood in the legs, increasing the risk of thrombus formation.
3. Compression stockings help prevent venous stasis and promote venous return.
4. By maintaining proper circulation, compression stockings also decrease the risk of developing pressure ulcers.
Summary of Incorrect
Choices:
B: Raising all side rails - This would not directly address the complications of immobility.
C: Inserting a urinary catheter - Urinary catheters are not typically used as prophylactic interventions for immobility-related complications.
D: Using friction-reducing devices - While important for skin integrity, friction-reducing devices do not specifically target complications of immobility.
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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