ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse is to assess the client's need for toileting every 15 minutes. This is important because physical restraints can lead to decreased mobility and can increase the risk of urinary retention or constipation. Regular assessment for toileting needs can prevent discomfort, skin breakdown, and potential complications. Asking the provider to renew the prescription every 8 hours (
Choice
B) is not the immediate responsibility of the nurse. Having a staff member check on the client every 30 minutes (
Choice
C) is not as crucial as assessing toileting needs. Offering hydration and nutrition every 2 hours (
Choice
D) is important but not as immediate as ensuring toileting needs are met.
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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