ATI RN Fundamentals 2019 with NGN | Nurselytic

Questions 65

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ATI RN Fundamentals 2019 with NGN Questions

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Question 1 of 5

A nurse is caring for a client who is restrained to each extremity. Which of the following assessments should the nurse perform first?

Correct Answer: D

Rationale: The correct assessment to perform first is D: Peripheral pulses. This is crucial to ensure that the client's circulation is not compromised due to the restraints. Assessing peripheral pulses will help determine if the restraints are affecting blood flow, which is a priority in preventing complications like ischemia or tissue damage. It should be done promptly to address any issues immediately.

A: Elimination needs, B: Comfort level, and C: Skin integrity are important assessments but should come after ensuring the client's circulation is not compromised. These can be addressed once the immediate risk of circulatory compromise is ruled out by assessing peripheral pulses.

In summary, assessing peripheral pulses first is essential to prioritize the client's safety and prevent potential harm related to impaired circulation.

Question 2 of 5

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Question 4 of 5

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Question 5 of 5

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