a nurse enters the hospital room of a client with reduced immunity what observation requires further action by the nurse
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?

Correct answer: B

Rationale:

2. Unlicensed assistive personnel (UAP) is assisting a client in traction. Which of these actions requires immediate intervention?

Correct answer: A

Rationale: The correct answer is A because traction weights should hang freely to maintain their effectiveness. Choice B is incorrect because providing pillows to cushion unaffected extremities is appropriate. Choice C is also incorrect as emptying the catheter bag is a routine nursing task. Choice D is incorrect as teaching the client to use the call light promotes client safety.

3. Convert 30 ml to ounces. (Type the answer as numeric only)

Correct answer: A

Rationale: 30 ml is equivalent to 1 ounce.

4. What is the most common method of reducing and immobilizing a fracture?

Correct answer: D

Rationale: Open reduction with internal fixation (ORIF) is the most common method for reducing and immobilizing fractures.

5. The following client come to the ophthalmology clinic. Which client needs to be seen first?

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

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