angie is a disoriented client who frequently falls from the bed as her nurse which of the following is the best nursing intervention to prevent future

ATI RN

Nutrition ATI Proctored Exam 2023

1. Angie is a disoriented client who frequently falls from the bed. As her nurse, which of the following is the best nursing intervention to prevent future falls?

A. Tell Angie not to get up from bed unassisted
B. Put the call bell within her reach
C. Put bedside commode at the bedside to prevent Angie from getting up
D. Put the bed in the lowest position ever

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

2. What should be the next step in the nursing research process?

A. Review related literature
B. Seek permission from the hospital administrator
C. Identify the research problem
D. Develop methods for data collection

Correct answer: D

Rationale: The correct answer is 'Develop methods for data collection' (Choice D). In the nursing research process, after the research problem has been identified, the next step would typically be to develop methods for how data will be collected. This is essential to effectively address the research problem. 'Review related literature' (Choice A), while an important step, usually occurs after the research problem has been identified and before methods for data collection are developed. 'Seek permission from the hospital administrator' (Choice B) might be necessary at some point in certain situations, but it is not the immediate next step in the research process. 'Identify the research problem' (Choice C) would typically come before developing methods for data collection. Therefore, according to the typical sequence of steps in the nursing research process, Choice D is correct.

3. Can soluble fibers be fermented by gut bacteria?

A. TRUE
B. FALSE
C.
D.

Correct answer: A

Rationale: Soluble fibers can indeed be fermented by gut bacteria in the large intestine, leading to the production of beneficial short-chain fatty acids. This fermentation process is important for gut health and provides various health benefits. Therefore, the statement is true. Choice B is incorrect as it contradicts the known scientific fact that soluble fibers can be broken down by gut bacteria through fermentation.

4. During the first 24 hours of burn, nursing measures should focus on which of the following?

A. I and O hourly
B. Strict aseptic technique
C. Forced oral fluids
D. Isolate the patient

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.