ATI RN Fundamentals 2023 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: "I will walk three times per week." Walking is weight-bearing exercise, which helps build bone density and reduce the risk of osteoporosis. Weight-bearing exercises stimulate bone growth and strengthen bones. This statement indicates that the client understands the importance of physical activity in maintaining bone health.

Incorrect

Choices:
A: Avoiding exposure to the sun is not recommended as sunlight exposure helps the body produce Vitamin D, essential for calcium absorption.
B: Decreasing intake of dairy products can lead to a lack of calcium, which is crucial for bone health.
D: Taking only 250 milligrams of calcium once per day is insufficient for most older adults who require higher doses to maintain bone health.

Correct Answer: A

Rationale: The correct answer is A: "The scale measures six elements." The Braden scale indeed assesses six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. This response shows an understanding of the scale's components.
Choice B is incorrect because the client's age is not a factor in the Braden scale assessment.
Choice C is incorrect as a higher score on the Braden scale indicates a lower pressure injury risk.
Choice D is incorrect because each element on the Braden scale has a range from one to four points, not one to five.

Correct Answer: A,C

Rationale: The correct answers are A and C. Option A is important as adjusting oxygen flow rate can help ease breathing, ensuring optimal oxygen delivery. Option C advises storing the oxygen cylinder wrench with the tank for easy access in case of emergencies. These two pieces of information are crucial for maintaining proper oxygen therapy and ensuring safety.

Options B, E, F, and G are incorrect. Option B states a specific duration for antibiotic therapy, which may vary depending on the type of infection. Option E relates to steroid medication administration timing, which can vary based on the specific medication and condition. Option F provides general advice on antibiotic administration but may not apply to all antibiotics. Option G implies a specific tapering schedule for steroids, which should be individualized based on the patient's condition and response.

Correct Answer: C

Rationale: The correct answer is C: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because older adults with heart failure are at risk for falls due to potential nocturia (frequent need to urinate at night) caused by the diuretic effect of hydrochlorothiazide. Leaving a light on in the bathroom at night can help prevent falls.


Choice A is incorrect because weighing once weekly does not address the immediate safety concern related to falls.
Choice B is unrelated to safety considerations.
Choice D is incorrect as taking a hot bath before bed can potentially increase the risk of falls due to dizziness.

Correct Answer: D

Rationale: The correct answer is D: "We can discuss what you can expect during your stay." This response acknowledges the client's anxiety and offers support by providing information. It empowers the client by involving them in the discussion and helps alleviate fear of the unknown.
Choice A dismisses the client's feelings and lacks empathy.
Choice B generalizes and may not address the client's specific concerns.
Choice C may come off as confrontational and put the client on the spot.