a nurse is caring for a client who reports intimate partner violence what is the nurses priority action a nurse is caring for a client who reports intimate partner violence what is the nurses priority action
Logo

Nursing Elites

ATI RN

ATI Comprehensive Exit Exam

1. A client reports intimate partner violence to a nurse. What is the nurse's priority action?

Correct answer: A

Rationale: The correct answer is to develop a safety plan with the client. When a client reports intimate partner violence, the priority is ensuring their immediate safety. Developing a safety plan involves identifying safe places, emergency contacts, and strategies to protect the client from harm. Referring the client to a community support group (Choice B) can be helpful but not the immediate priority. While determining if the client has any injuries (Choice C) is important for assessing their physical well-being, the priority is to ensure their safety. Ensuring the client has access to legal services (Choice D) is crucial, but it is not the immediate priority when the client is at risk of violence.

2. A healthcare professional is preparing to administer an IV fluid bolus of 500 mL over 4 hours to a client who is dehydrated. The healthcare professional should set the IV pump to deliver how many mL/hr?

Correct answer: C

Rationale: Setting the IV pump to 125 mL/hr ensures the correct infusion rate for delivering 500 mL over 4 hours. To calculate the mL/hr rate, divide the total volume to be infused (500 mL) by the total time for infusion (4 hours): 500 mL / 4 hours = 125 mL/hr. Choice A (75 mL/hr) is too low and would result in an insufficient infusion rate, potentially delaying fluid resuscitation. Choice B (100 mL/hr) would also be too low and not deliver the fluid within the specified time frame. Choice D (150 mL/hr) is too high and would infuse the fluid too quickly, potentially causing fluid overload and complications.

3. Following a stroke, a client has been started on clopidogrel (Plavix). Why is this medication being administered?

Correct answer: D

Rationale: Clopidogrel (Plavix) is an antiplatelet medication that inhibits platelet aggregation, reducing the risk of blood clots. It is commonly used in patients who have had a stroke and cannot tolerate aspirin due to allergies or intolerances. Choosing clopidogrel in these cases helps prevent further clot formation and reduces the risk of recurrent strokes.

4. Which of the following actions are individuals with loss of smell NOT inclined to do?

Correct answer: D

Rationale: Individuals with a loss of smell are typically inclined to eat less because the enjoyment of food is diminished due to the lack of taste. However, they may compensate for this loss by consuming more sweets or using more spices. Therefore, they are less inclined to lose weight because of the increased consumption of sweets and spices, not because they eat less. Choice 'A' is incorrect because individuals with loss of smell often use more spices to enhance the taste of their food. Choice 'B' is incorrect as they may indeed eat less due to the diminished enjoyment of food. Choice 'C' is also incorrect as they tend to eat and drink more sweets to compensate for their loss of taste.

5. A patient taking hormonal contraceptives will soon turn 35 years of age. She is moderately obese and has smoked for 15 years. Which of the following is most important?

Correct answer: B

Rationale: The most important action for a patient taking hormonal contraceptives, who is nearing 35 years of age, moderately obese, and has a history of smoking for 15 years, is to begin smoking cessation. Women over 35, especially smokers, are at an increased risk of blood clots and cardiovascular issues when using hormonal contraceptives. Smoking cessation is crucial to reduce this risk. Beginning an exercise regimen may be beneficial for overall health but is not as critical as stopping smoking in this scenario. Daily aspirin therapy or taking a loop diuretic are not indicated in this situation and may not address the primary risk associated with hormonal contraceptives and smoking.

Similar Questions

What should a healthcare professional monitor for in a patient with compartment syndrome?
Achieving Magnet Hospital designation offers hospitals the following advantages: (Select one that does not apply.)
The nurse is preparing to feed a 10-month-old child diagnosed with failure to thrive (FTT). Which actions should the nurse plan to implement?
A client who has a head injury is transported to the emergency department. Which assessment does the emergency department nurse perform immediately?
A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?

Access More Features

ATI Basic

  • 50,000 Questions with answers
  • All ATI courses Coverage
    • 30 days access @ $69.99

ATI Basic

  • 50,000 Questions with answers
  • All ATI courses Coverage
    • 90 days access @ $149.99