ATI RN Fundamentals 2023 II | Nurselytic

Questions 60

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ATI RN Fundamentals 2023 II Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?

Correct Answer: B

Rationale: The correct answer is B: Use trochanter rolls beside the client's legs. This action helps prevent external rotation of the hips, which can lead to hip dislocation in immobile clients. Trochanter rolls provide support and maintain proper alignment of the legs, reducing the risk of pressure injuries and contractures.


Choice A is incorrect because crossing the client's ankles can cause pressure ulcers and restrict blood flow.
Choice C is incorrect as placing the client's arms at their side can lead to shoulder and elbow contractures.
Choice D is incorrect because logrolling every 4 hours is not necessary for all immobile clients and may cause unnecessary disruption and discomfort.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

Correct Answer:

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Question 5 of 5

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