VATI ATI Comprehensive Predictor 2023 | Nurselytic

Questions 177

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VATI ATI Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

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

Correct Answer: A

Rationale:
Correct
Answer: A - Remind the client to place the cane on the unaffected side.


Rationale: Placing the cane on the unaffected side provides support and stability to the weaker side, reducing the risk of falls. This positioning allows the client to shift weight onto the cane when ambulating, improving balance and safety. It also helps to decrease strain on the affected side, promoting proper body mechanics.

Incorrect

Choices:
B: Adjust the length of the cane to equal the distance from the client's iliac crest to the floor - While cane length adjustment is important, it should be based on the client's height, not the iliac crest to the floor.
C: Remove the rubber tip from the cane to enhance ambulation - Removing the rubber tip compromises traction and stability, increasing the risk of slipping.
D: Place the cane safely in the closet during naps and at bedtime - The cane should be within reach at all times to aid in mobility when needed.

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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