a nurse is planning care for a client who has a history of falls which of the following actions should the nurse include in the plan of care
Logo

Nursing Elites

ATI RN

ATI Comprehensive Exit Exam 2023 With NGN Quizlet

1. A nurse is planning care for a client who has a history of falls. Which of the following actions should the nurse include in the plan of care?

Correct answer: C

Rationale: The correct answer is C: 'Use nonskid footwear while ambulating.' This action is crucial in preventing falls in clients with a history of falls as it provides better traction and stability while walking. Choice A, 'Keep all four side rails up,' is not recommended as it can lead to client restraint and is not a fall prevention strategy. Choice B, 'Ensure the client's bed is in the lowest position,' is important for preventing injuries from falls out of bed but does not directly address fall prevention during ambulation. Choice D, 'Place a bedside commode close to the client's bed,' is a good practice for toileting safety but does not specifically address preventing falls while walking.

2. A nurse in a provider's office is reviewing the laboratory results of a group of clients. Which result is reportable?

Correct answer: D

Rationale: Chlamydia is a reportable sexually transmitted infection. Reporting cases of Chlamydia to the health department is crucial for disease surveillance, contact tracing, and implementing public health interventions. Herpes simplex, human papillomavirus, and candidiasis are not typically reportable infections, as they do not pose the same public health risks as Chlamydia.

3. A nurse is providing teaching to a client who has GERD. Which of the following instructions should the nurse include?

Correct answer: B

Rationale: The correct answer is B: 'Avoid lying down after meals.' This instruction is important for clients with GERD to prevent acid reflux. Lying down after meals can worsen GERD symptoms by allowing stomach acid to flow back into the esophagus. Choices A, C, and D are incorrect. Choice A is incorrect because lying flat after meals can increase the risk of acid reflux. Choice C is incorrect because hot liquids may aggravate GERD symptoms. Choice D is incorrect because consuming a high-carbohydrate snack at bedtime can also trigger acid reflux in individuals with GERD.

4. A nurse is providing dietary teaching to a client with irritable bowel syndrome. Which of the following recommendations should the nurse include?

Correct answer: A

Rationale: The correct answer is A: Consume foods high in bran fiber. Bran fiber helps alleviate symptoms of irritable bowel syndrome by promoting regular bowel movements. Choice B is incorrect as increasing intake of milk products may exacerbate symptoms in some individuals with irritable bowel syndrome who are lactose intolerant. Choice C is incorrect as fructose corn syrup may worsen symptoms due to its high fructose content, which can be poorly absorbed in some individuals with irritable bowel syndrome. Choice D is incorrect as increasing foods high in gluten may be problematic for individuals with irritable bowel syndrome who have gluten sensitivity or celiac disease.

5. A client with a new diagnosis of diabetes mellitus is receiving discharge teaching from a nurse. Which of the following client statements indicates an understanding of the teaching?

Correct answer: C

Rationale: The correct answer is C because checking blood sugar levels every morning before breakfast is a crucial aspect of managing diabetes effectively. This practice helps individuals monitor their blood sugar levels regularly and adjust their treatment plan as needed. Option A is incorrect as consuming a bedtime snack based on blood sugar levels alone may not be an appropriate approach to managing diabetes. Option B is incorrect as relying on more sugar-free candy does not address the overall dietary management of blood sugar levels. Option D is incorrect as avoiding physical activity when blood sugar is below 100 mg/dL can hinder diabetes management, as exercise is generally beneficial for controlling blood sugar levels.

Similar Questions

A client is experiencing a seizure. Which of the following interventions should the nurse implement?
A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia. Which of the following actions is the nurse's priority?
A client who has a new prescription for alendronate is being taught by a nurse. Which of the following statements by the client indicates an understanding of the teaching?
A nurse is assessing a client who has a history of seizure disorder and is receiving phenytoin. Which of the following findings should the nurse identify as an adverse effect of the medication?
What is the most appropriate intervention for a patient experiencing hypoglycemia?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses