a client is in the emergency room in critical condition and hypotensive her spouse is distraught what is the priority nursing action
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action?

Correct answer: A

Rationale:

2. Which assessment is NOT a nonverbal sing of pain?

Correct answer: D

Rationale:

3. Which organization publishes the National Patient Safety Goals?

Correct answer: A

Rationale:

4. What is the best intervention to reduce the risk of falling in the hospital room for a blind client being cared for?

Correct answer: D

Rationale: The best intervention to reduce the risk of falling in the hospital room for a blind client is to orient the client to the location of objects in the room. This helps the client navigate safely and independently. Choices A, B, and C are incorrect because telling the client's family to stay overnight, applying restraints, and shouting are not appropriate interventions for preventing falls in a blind client; in fact, they could potentially lead to increased anxiety and risk of falls.

5. What nursing interventions increase the risk the pressure injuries?

Correct answer: B

Rationale:

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