a client has a fractured right arm which of these should the nurse complete first

ATI RN

Multi Dimensional Care | Final Exam

1. A client has a fractured right arm. What should the nurse do first?

A. Apply ice to the fracture site
B. Administer pain medications
C. Remove the client’s bracelet and rings from the right arm
D. Send the client to radiology for an x-ray

Correct answer: C

Rationale: The nurse should first remove the client's bracelet and rings from the right arm. This action is crucial to prevent complications such as swelling and restricted blood flow, which could worsen the condition. Applying ice, administering pain medications, and sending the client for an x-ray are important steps but should come after ensuring the client's jewelry is removed to avoid any further issues.

2. The nurse suspects a 3-year-old who is coughing vigorously has aspirated a small object. Which action should the nurse take?

A. Deliver upward abdominal thrusts with a fisted hand
B. Perform a blind finger sweep of the child's mouth
C. Complete five rapid back blows between the shoulder blades
D. Encourage the child to continue coughing

Correct answer: D

Rationale:

3. The nurse educates a client about how to reduce their risk for osteoporosis. Which of these statements by the nurse is correct? (Select all that apply)

A. You can decrease your risk of osteoporosis by avoiding vitamin D.
B. You can decrease your risk of osteoporosis by reducing caffeine intake.
C. You can decrease the risk of osteoporosis by decreasing alcohol intake.
D. You can decrease your risk of osteoporosis by reducing protein intake.

Correct answer: B

Rationale: Reducing caffeine and alcohol intake, and quitting smoking can help decrease the risk of osteoporosis.

4. What is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV)?

A. A few missed doses per month are acceptable
B. Only specific licensed drugs are effective
C. These drugs inhibit viral replication
D. These drugs eradicate the virus

Correct answer: C

Rationale: The correct answer is that antiretroviral drugs inhibit viral replication. These medications work by interfering with the ability of the HIV virus to multiply in the body, helping to control the infection. Choice A is incorrect because consistency in taking antiretroviral drugs is crucial to their effectiveness. Missing doses can lead to treatment failure and the development of drug-resistant strains of HIV. Choice B is incorrect as there are multiple licensed drugs that are effective in treating HIV. Choice D is also incorrect as antiretroviral drugs do not kill the virus but rather suppress its replication.

5. What device would be best to use for a client who is immobile?

A. Standing assist device
B. A mechanical lift
C. Transfer board
D. Gait belt

Correct answer: B

Rationale: A mechanical lift is the most suitable device for a client who is immobile as it provides safe and efficient assistance in moving the individual. A standing assist device is used for support during standing activities, not for transferring an immobile client. A transfer board is helpful for assisting a client in sliding from one surface to another but may not be the best option for someone who is completely immobile. A gait belt is used for providing support and stability during walking or transferring, which may not be effective for a client who is immobile and requires more comprehensive assistance.