a client is in the emergency room in critical condition and hypotensive her spouse is distraught what is the priority nursing action
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action?

Correct answer: A

Rationale:

2. A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?

Correct answer: B

Rationale: The correct explanation for irreversible vision loss in glaucoma is that once the tissue has necrosed from high pressure, it does not regenerate. This necrosis occurs due to the damage caused by increased intraocular pressure, which leads to irreversible damage to the optic nerve and retinal tissue. Choices A, C, and D are incorrect because they do not directly address the specific mechanism of irreversible vision loss in glaucoma, which is necrosis due to high pressure.

3. A client on bed rest complains of pain and burning in the right calf area. What is the nurse's action?

Correct answer: D

Rationale:

4. Which of the following assessments is found in neurovascular compromise?

Correct answer: A

Rationale: Tingling is a common sign of neurovascular compromise.

5. Which of the following clients are at an increased risk for deep vein thrombosis following a reduction and internal fixation of the hip? (Select all that apply)

Correct answer: a

Rationale: Clients on birth control pills, immobile, and smokers are at increased risk of DVT after hip surgery.

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