ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?
Correct Answer: A
Rationale: The correct answer is A: Observe client's respiratory status. This is the priority action because a decreased level of consciousness can increase the risk of aspiration, leading to respiratory compromise. Monitoring respiratory status allows the nurse to detect any signs of respiratory distress promptly.
Choice B is important, but not the priority over respiratory status.
Choice C is essential for preventing aspiration but is secondary to respiratory monitoring.
Choice D is important for assessing tolerance to enteral feedings but is not the priority over respiratory status in this scenario.
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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