Which of the following would be the most appropriate goal for an elderly client with a nursing diagnosis of risk for injury after hip surgery?- Skildor

ATI RN

ATI RN Test Bank

Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 5

Which of the following would be the most appropriate goal for an elderly client with a nursing diagnosis of risk for injury after hip surgery?

A. Client will increase mobility by the time of discharge from hospital B. Client will demonstrate effective breathing pattern when ambulating throughout hospital stay C. Client will increase activity tolerance by discharge from the hospital D. Client will remain free from falls throughout their hospital stay

Correct Answer: D

Rationale:

Question 2 of 5

A client arrives speaking only Spanish. What is the priority nursing intervention?

A. Give the client a tour of the unit B. Verify the reason for admission C. Request a medical interpreter D. Call the chaplain for support

Correct Answer: C

Rationale:

Question 3 of 5

A nurse is providing teaching to an older client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct understanding of the teaching?

A. I can use either heat or ice to help relieve the discomfort B. The purpose of drug therapy is to stop the disease progression.' C. I will start a daily running program to get more exercise.' D. I should avoid physical activity to prevent further injury.'

Correct Answer: A

Rationale:

Question 4 of 5

A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?

A. Once retinal detachment occurs, it does not return to its normal state B. Once the tissue has necrosed from high-pressure, it does not regenerate C. Glaucoma always leads to permanent blindness D. Once bacterial infection has caused damage, the tissue does not regenerate

Correct Answer: B

Rationale: The correct explanation for irreversible vision loss in glaucoma is that once the tissue has necrosed from high pressure, it does not regenerate. This necrosis occurs due to the damage caused by increased intraocular pressure, which leads to irreversible damage to the optic nerve and retinal tissue. Choices A, C, and D are incorrect because they do not directly address the specific mechanism of irreversible vision loss in glaucoma, which is necrosis due to high pressure.

Question 5 of 5

What is the nurse's priority action for a client with compromised immunity?

A. Wash hands before entering the client's room B. Take the client's vital signs every 4 hours C. Determine whether it is temporary or permanent D. Teach the family members to receive the flu shot annually

Correct Answer: A

Rationale:

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for ATI-RN and 3000+ practice questions to help you pass your ATI-RN exam.

Multi Dimensional Care | Exam | Rasmusson

Skildor

ATI RN

ATI RN

Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Similar Questions

Join Our Community Today!