LPN LPN
ATI PN Comprehensive Predictor 2023 Quizlet
1. A client is scheduled for a lumbar puncture. The nurse should assist the client into which of the following positions?
- A. Supine with head elevated
- B. Lateral recumbent
- C. Prone with arms at sides
- D. Sitting with back rounded
Correct answer: B
Rationale: The correct position for a lumbar puncture is the lateral recumbent position. This position allows the spine to curve naturally, widening the spaces between the vertebrae, making it easier and safer to perform the procedure. Supine with head elevated (Choice A) would not provide the proper positioning for a lumbar puncture as it does not allow for proper access to the lumbar area. Prone with arms at sides (Choice C) would not be suitable as it would not facilitate the procedure. Sitting with back rounded (Choice D) is also incorrect as it does not allow for the proper alignment of the spine needed for a lumbar puncture.
2. A nurse is reviewing the plan of care for a client who is receiving oxygen therapy. Which of the following interventions should the nurse include to prevent complications?
- A. Check the client's oxygen saturation every 2 hours
- B. Provide humidified oxygen
- C. Instruct the client to perform deep breathing exercises
- D. Use an oxygen mask for delivery
Correct answer: B
Rationale: The correct answer is B: Provide humidified oxygen. Providing humidified oxygen helps prevent dryness and irritation of the respiratory tract during oxygen therapy. This intervention is crucial in preventing complications such as mucous membrane dryness and potential damage to the airways. Checking the client's oxygen saturation every 2 hours (choice A) is essential for monitoring the client's response to therapy but does not directly prevent complications. Instructing the client to perform deep breathing exercises (choice C) is beneficial for respiratory function but does not directly address preventing complications related to oxygen therapy. Using an oxygen mask for delivery (choice D) is a common method of administering oxygen but does not specifically focus on preventing complications like dryness and irritation.
3. A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following is an appropriate nursing action?
- A. Implement a regular toileting schedule
- B. Encourage the client to wear athletic socks when ambulating
- C. Place all four bed rails in the upright position
- D. Require a family member to remain at the bedside
Correct answer: A
Rationale: Implementing a regular toileting schedule is an appropriate nursing action for a client at risk for falls. This action can help prevent accidents related to rushing to the bathroom. Encouraging the client to wear athletic socks when ambulating (Choice B) is not safe as it can increase the risk of slipping and falling. Placing all four bed rails in the upright position (Choice C) can lead to entrapment or falls when the client tries to get out of bed. Requiring a family member to remain at the bedside (Choice D) may not always be feasible and does not directly address fall prevention strategies like the toileting schedule.
4. While caring for a client with an IV infusion who develops redness and warmth at the IV site, what is the most appropriate intervention?
- A. Elevate the IV site and apply an ice pack
- B. Administer an anti-inflammatory medication
- C. Apply a cold compress to the IV site
- D. Discontinue the IV and notify the provider
Correct answer: D
Rationale: The correct intervention when a client develops redness and warmth at the IV site, indicating phlebitis, is to discontinue the IV and notify the provider. This is crucial to prevent further complications. Elevating the IV site and applying an ice pack (Choice A) may not address the underlying issue of phlebitis. Administering an anti-inflammatory medication (Choice B) is not the primary intervention for phlebitis. Applying a cold compress (Choice C) may provide temporary relief but does not address the need to discontinue the IV when phlebitis occurs.
5. How should a healthcare professional assess and manage a patient with ascites?
- A. Monitor abdominal girth and administer diuretics
- B. Administer pain relief and monitor fluid intake
- C. Restrict fluid intake and encourage bed rest
- D. Administer albumin and check electrolyte levels
Correct answer: A
Rationale: Correct! When managing a patient with ascites, monitoring abdominal girth is crucial as it helps assess the extent of fluid retention. Administering diuretics is also essential to help reduce fluid buildup in the body, thereby managing ascites effectively. Option B is incorrect as pain relief is not the primary intervention for ascites. Option C is incorrect as restricting fluid intake can worsen the condition by causing dehydration and further fluid imbalances. Option D is incorrect as administering albumin and checking electrolyte levels are not first-line interventions for managing ascites; these interventions may be considered in specific cases but are not the initial steps in managing ascites.
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