a nurse is caring for a client who is to receive thrombolytic therapy which of the following factors should the nurse recognize as a contraindication
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Nursing Elites

ATI RN

ATI Fundamentals Proctored Exam Quizlet

1. A client is to receive thrombolytic therapy. Which of the following factors should be recognized as a contraindication to the therapy?

Correct answer: A

Rationale: Thrombolytic therapy involves the use of medications to dissolve blood clots. Hip arthroplasty (joint replacement surgery) performed recently is a contraindication to thrombolytic therapy due to the risk of bleeding. Elevated sedimentation rate, exercise-induced asthma, and elevated platelet count are not contraindications to thrombolytic therapy.

2. Which of the following is the correct meaning of CBR?

Correct answer: C

Rationale: In medical terminology, 'CBR' stands for Complete Bed Rest. This term indicates the necessity for a patient to remain in bed without engaging in any physical activities beyond what is essential for daily living, to aid in the recovery process or to prevent further health complications. Choices A, B, and D are incorrect as they do not reflect the medical meaning of CBR.

3. What is the primary purpose of handwashing?

Correct answer: B

Rationale: The primary purpose of handwashing is to prevent the transfer of microorganisms. Proper hand hygiene helps reduce the risk of spreading harmful bacteria and viruses, thus promoting overall health and preventing infections. Choice A is incorrect as handwashing primarily focuses on cleanliness rather than promoting circulation. Choice C is incorrect as it implies that the main concern is avoiding client discomfort rather than preventing infection. Choice D is incorrect as while handwashing can be comforting in some situations, its primary purpose is not to provide comfort but to maintain hygiene.

4. A healthcare professional is planning care for a client who has dysphagia and a new dietary prescription. Which of the following should the healthcare professional NOT include in the plan of care?

Correct answer: D

Rationale: When caring for a client with dysphagia, it is crucial to ensure safe feeding practices. Assigning an assistive personnel to feed the client slowly may not be appropriate as it can increase the risk of aspiration. Thickened liquids, having suction equipment available, and placing food on the unaffected side of the mouth are all appropriate measures to support a client with dysphagia in safe eating and drinking.

5. The correct method for determining the vastus lateralis site for I.M. injection is to:

Correct answer: D

Rationale: The vastus lateralis site is located in the middle third of the thigh.

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