angie is a disoriented client who frequently falls from the bed as her nurse which of the following is the best nursing intervention to prevent future
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Nursing Elites

ATI RN

Nutrition ATI Proctored Exam 2023

1. Angie is a disoriented client who frequently falls from the bed. As her nurse, which of the following is the best nursing intervention to prevent future falls?

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

2. How long can Vitamin A be stored in the liver for at least?

Correct answer: C

Rationale: Vitamin A can be stored in the liver to meet basic needs for at least 1 year. This storage capacity allows the body to have a reserve of Vitamin A to sustain its needs over an extended period. Choices A, B, and D are incorrect because they underestimate the storage capacity of Vitamin A in the liver, which can last longer than these durations.

3. What instruction should the nurse include on weight gain during pregnancy?

Correct answer: A

Rationale: Appropriate weight gain is crucial for reducing the risk of preterm birth.

4. What are the responsibilities of a nurse towards a patient?

Correct answer: A

Rationale: A registered nurse is responsible for a group of patients from their admission to their discharge. This responsibility encompasses assessing patient needs, formulating care plans, administering medications, monitoring patient progress, and coordinating with other members of the healthcare team. Choice B is not entirely accurate because, even though nurses often work with nursing aides, the nurses themselves hold the ultimate responsibility for the overall care of the patient. Choices C and D are incorrect as they depict an incomplete and inaccurate representation of a nurse's role, which extends beyond administrative duties and equipment maintenance to primarily focus on direct patient care.

5. If it is determined that a child is being physically abused by a parent, what would be the most important goal for the nurse to establish with the family?

Correct answer: A

Rationale: The primary objective when dealing with cases of child abuse is to ensure the safety of the child and any siblings. This means creating a secure environment free from harm, which is why choice 'A' is the correct answer. While choices 'B', 'C', and 'D' might be subsequent steps in a comprehensive plan to deal with the situation, they are not the immediate priority. Understanding abusive behavioral patterns or improving the relationship with the counselor will not directly lead to the child's safety. Likewise, teaching the mother to apply verbal discipline doesn't guarantee the child's safety if the abusive behavior continues. Therefore, these options are not the most important initial goal.

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