RN-ATI-Fundamentals-of-Nursing-2023-2024 -Nurselytic

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RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions

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Question 1 of 5

A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan?

Correct Answer: A

Rationale: The correct answer is A: Wear loose-fitting underwear. Tight clothing can create a warm and moist environment, promoting bacterial growth and increasing the risk of urinary tract infections (UTIs). Loose-fitting underwear allows for better airflow and reduces moisture retention, minimizing the likelihood of UTIs.
Choice B is incorrect because bubble baths can disrupt the natural balance of vaginal flora, making the client more susceptible to infections.
Choice C is insufficient as adequate hydration is important but not specific to preventing UTIs.
Choice D is important for bladder health but does not directly address UTI prevention.

Question 2 of 5

A nurse is caring for a client who is immobilized. Which of the following interventions is appropriate to prevent contracture?

Correct Answer: D

Rationale: The correct answer is D: Apply an orthotic to the client's foot. This intervention helps maintain proper alignment and prevents foot drop, which can lead to contractures. Placing a pillow under the client's knees (
A) may alleviate pressure but does not directly address contracture prevention. Similarly, placing a towel roll under the client's neck (
B) and aligning a trochanter wedge between the client's legs (
C) focus on comfort and positioning but not specifically on preventing contractures. Applying an orthotic to the client's foot (
D) is the most appropriate choice as it directly addresses the risk of contractures by maintaining proper alignment and preventing muscle shortening.

Question 3 of 5

A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?

Correct Answer: A

Rationale: The correct answer is A: Latex. Latex allergies are crucial to address prior to IV therapy as latex is commonly found in medical equipment like gloves and IV tubing. An allergic reaction to latex can be severe and life-threatening. Seafood, bee stings, and peanuts are not typically related to IV therapy and would not directly impact the administration of the therapy. The focus should be on latex allergy due to its direct relevance to medical equipment used during IV therapy.

Question 4 of 5

A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching?

Correct Answer: D

Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains acetone, which is highly flammable and should be kept away from oxygen sources to prevent fire hazards. Applying petroleum jelly to soothe mucous membranes is not relevant to home oxygen therapy. Using synthetic fabrics for bedding does not directly relate to oxygen therapy. Cleaning equipment with alcohol-based products (
Choice
C) can be dangerous as alcohol is flammable.
Therefore, it is important for the nurse to emphasize the importance of avoiding nail polish remover to ensure the safety of the client receiving home oxygen therapy.

Question 5 of 5

A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: The correct answer is A: Check the client for injuries. This should be the first action taken by the nurse as it is crucial to assess the client's immediate physical condition for any potential harm. Checking for injuries is a priority to ensure the client's safety and well-being. Moving hazardous objects (
B) should only be done after ensuring the client is not in immediate danger. Notifying the provider (
C) can be done after assessing the client's injuries. Asking the client to describe how she felt prior to the fall (
D) is important but should come after ensuring there are no immediate injuries that need attention.

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