LPN LPN
ATI PN Comprehensive Predictor 2023 Quizlet
1. A nurse manager is updating protocols for belt restraints. Which of the following guidelines should the nurse include?
- A. Document the client's condition every 15 minutes.
- B. Attach the restraints to a non-moving part of the bed.
- C. Avoid requesting a PRN restraint prescription for clients who are aggressive.
- D. Remove the client's restraints based on the client's condition.
Correct answer: A
Rationale: The correct answer is A: Document the client's condition every 15 minutes. When using belt restraints, it is crucial to document the client's condition regularly to ensure their safety and well-being. This guideline allows for ongoing assessment of the client's need for restraints and any potential adverse effects. Choice B is incorrect as restraints should not be attached to the bed frame but to a non-moving part of the bed to prevent harm in case of bed movement. Choice C is incorrect as PRN (as needed) restraint prescription should not be a routine practice and should only be considered after other interventions have been attempted. Choice D is incorrect as restraints should be removed and reevaluated based on the client's condition, not solely on a fixed time schedule.
2. A client diagnosed with hypertension requires lifestyle changes. What change should the nurse emphasize?
- A. Increase intake of high-fat foods
- B. Reduce sodium intake
- C. Reduce intake of dairy products
- D. Increase intake of high-protein foods
Correct answer: B
Rationale: Reducing sodium intake is crucial for managing hypertension as excess sodium can lead to increased blood pressure. High-fat foods (Choice A) are not recommended as they can contribute to heart issues. While dairy products (Choice C) should be consumed in moderation, they are not specifically targeted in hypertension management. High-protein foods (Choice D) are not the priority; rather, reducing sodium intake takes precedence due to its direct impact on blood pressure levels.
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. A nurse is providing teaching to a client who is to start taking digoxin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with food.
- B. I will contact my provider if my heart rate is below 60 beats per minute.
- C. I should take an antacid with this medication to prevent gastrointestinal upset.
- D. I will need to take this medication for 14 days.
Correct answer: B
Rationale: The client should contact their provider if their heart rate drops below 60 beats per minute, as this could indicate digoxin toxicity.
5. How should a healthcare provider manage a patient with hypertensive crisis?
- A. Administer antihypertensive medications and monitor blood pressure
- B. Provide a high-sodium diet and fluid restriction
- C. Administer diuretics and provide oxygen therapy
- D. Provide IV fluids and monitor for kidney failure
Correct answer: A
Rationale: In a hypertensive crisis, the immediate goal is to lower blood pressure to prevent organ damage. Administering antihypertensive medications helps achieve this goal efficiently. Monitoring blood pressure is essential to assess the effectiveness of the treatment and adjust medication as needed. Providing a high-sodium diet and fluid restriction (Choice B) can exacerbate hypertension by increasing blood pressure. Diuretics and oxygen therapy (Choice C) are not the first-line treatment for hypertensive crisis, as the priority is rapid blood pressure reduction. Providing IV fluids and monitoring for kidney failure (Choice D) are not primary interventions for managing hypertensive crisis; the focus is on blood pressure control and organ protection.
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