ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A patient who is terminally ill has been unable to maintain good nutrition because of nausea and anorexia and has lost a great deal of weight. He is now unable to change his position in bed and needs frequent perineal care because of urinary incontinence. The nurse planning his care would include in the plan of care to:
Correct Answer: B
Rationale: The correct answer is B: provide him with an air pressure mattress. This choice is correct because the patient's inability to change position in bed puts him at risk for pressure ulcers. An air pressure mattress can help distribute the pressure evenly, reducing the risk of skin breakdown.
Choice A is incorrect because laxatives and stool softeners may not be necessary if the patient is not experiencing constipation.
Choice C is incorrect because coaxing the patient to eat high-calorie, high-fat food may not address the underlying issues of nausea and anorexia, and may not be appropriate for a terminally ill patient.
Choice D is incorrect because tube feeding may not be necessary if the patient's oral intake can be improved with other interventions.
In summary, providing the patient with an air pressure mattress is the most appropriate intervention to prevent pressure ulcers, considering the patient's immobility and incontinence.
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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