which among the following interventions should you consider as the highest priority when caring for june who has hemiparesis secondary to stroke
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Nursing Elites

ATI RN

ATI Nutrition Practice Test A 2019

1. Which of the following interventions should be considered the highest priority when caring for June, who has hemiparesis secondary to a stroke?

Correct answer: C

Rationale: The correct answer is C, 'Apply antiembolic stockings'. In the case of a patient who has experienced a stroke and is suffering from hemiparesis, the highest priority intervention is to prevent further complications such as deep vein thrombosis (DVT), which can be life-threatening. Antiembolic stockings are used to increase venous blood flow velocity and reduce the risk of DVT. Choice 'A', positioning June in an upright lateral position, while important for overall care, is not the highest priority. Choice 'B', performing range of motion exercises, is an important part of recovery but not the immediate priority. Choice 'D', using hand rolls or pillows for support, is also a valuable intervention but does not address the most pressing risk of further complications.

2. You are attending a certification on cardiopulmonary resuscitation (CPR) offered and required by the hospital employing you. This is

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. Churns chyme and has an environment of pH2; holds 4-6 cups of food:

Correct answer: A

Rationale: The stomach churns food into chyme and has a highly acidic environment (pH 2) to aid in the digestion of proteins and other nutrients.

4. If the child does not have ear problem, using IMCI, what should you as the nurse do?

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.

5. Which foods should be avoided on a low-potassium diet? (SATA)

Correct answer: B

Rationale: Bananas, sweet potatoes, and orange juice are high in potassium.

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