a nurse is planning care for a client who practices islam and is currently observing dietary restrictions for the month of ramadan which of the follow a nurse is planning care for a client who practices islam and is currently observing dietary restrictions for the month of ramadan which of the follow
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ATI RN

ATI Nutrition 2024 NGN Exam

1. A nurse is planning care for a client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?

Correct answer: B

Rationale: Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan.

2. When providing mouth care to an unconscious client, what is the best position for the client?

Correct answer: B

Rationale: The best position for an unconscious client when providing mouth care is the side-lying position. This position helps prevent aspiration by allowing fluids to drain out of the mouth easily, reducing the risk of choking or aspiration pneumonia. Placing the client in a side-lying position also promotes comfort and safety during the procedure. The other options are not ideal for mouth care in an unconscious client: Fowler’s position may increase the risk of aspiration, the supine position can lead to aspiration as well, and Trendelenburg position is not recommended due to potential adverse effects on blood circulation and increased intracranial pressure.

3. Which is NOT one of the functions of challenging behaviors?

Correct answer: E

Rationale: Challenging behaviors often serve functions related to avoiding, escaping, obtaining, or sensory needs. The question is asking for the function that does not typically apply to challenging behaviors. Choices A, B, C, and D align with the common functions associated with challenging behaviors. Therefore, 'E' is the correct answer as it does not represent a typical function of challenging behaviors.

4. Which condition is characterized by fluid collection in the lungs, making it difficult to breathe?

Correct answer: A

Rationale: The correct answer is A, Pulmonary edema. Pulmonary edema is a condition where fluid accumulates in the air sacs of the lungs, causing breathing difficulty. Pleurisy (choice B) is inflammation of the pleura causing chest pain. Pleural effusion (choice C) is the buildup of excess fluid in the pleural space, the area between the layers of tissue that line the lungs and chest cavity. Pneumothorax (choice D) is the presence of air in the pleural space, which can cause a lung to collapse.

5. An RN�s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?

Correct answer: B

Rationale: The first step is assessment and identification of the problem.

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