unlicensed assistive personnel uap is assisting a client in traction which of these actions requires immediate intervention
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Nursing Elites

ATI RN

Multi Dimensional Care | Final Exam

1. 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.

2. What statement by the client indicates a correct understanding of the timing of progression of human immunodefiency virus (HIV) to acquired immunodeficiency syndrome?

Correct answer: D

Rationale:

3. The nurse is assessing a client who had a cast placed 4 hours ago. What assessment finding is cause for concern?

Correct answer: B

Rationale: Inability to insert a finger between the cast and skin indicates the cast is too tight, risking circulation problems.

4. When providing a routine bed bath, what action does the nurse complete first?

Correct answer: D

Rationale:

5. Where will the nurse collect the most reliable source of pain assessment?

Correct answer: C

Rationale:

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