which among the following interventions should you consider as the highest priority when caring for june who has hemiparesis secondary to stroke
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Nursing Elites

ATI RN

ATI Nutrition Practice Test A 2019

1. Which of the following interventions should be considered the highest priority when caring for June, who has hemiparesis secondary to a stroke?

Correct answer: C

Rationale: The correct answer is C, 'Apply antiembolic stockings'. In the case of a patient who has experienced a stroke and is suffering from hemiparesis, the highest priority intervention is to prevent further complications such as deep vein thrombosis (DVT), which can be life-threatening. Antiembolic stockings are used to increase venous blood flow velocity and reduce the risk of DVT. Choice 'A', positioning June in an upright lateral position, while important for overall care, is not the highest priority. Choice 'B', performing range of motion exercises, is an important part of recovery but not the immediate priority. Choice 'D', using hand rolls or pillows for support, is also a valuable intervention but does not address the most pressing risk of further complications.

2. Mrs. Pichay who is for thoracentesis is assigned by the nurse to any of the following positions, EXCEPT:

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

3. What is the main function of dietary fiber in managing cholesterol levels?

Correct answer: D

Rationale: Dietary fiber helps lower cholesterol levels by binding to bile acids and reducing cholesterol absorption.

4. A nurse is preparing to administer a gavage feeding via a nasogastric tube to a preterm newborn who is receiving supplemental oxygen. Which of the following actions should the nurse take?

Correct answer: C

Rationale: Measuring the stomach aspirate prior to the feeding is crucial to ensure the correct placement and function of the nasogastric tube. This step helps prevent complications such as aspiration or improper feeding. Choice A is incorrect as stabilizing the tube with tape to the newborn’s cheek can cause discomfort and skin irritation. Choice B is incorrect because removing supplemental oxygen during the feeding may compromise the newborn's respiratory status. Choice D is incorrect because placing the newborn on their left side for 30 minutes after the feeding is not a standard practice and is unnecessary for administering gavage feeding.

5. Which vitamin is also known as Niacin?

Correct answer: C

Rationale: The correct answer is Vitamin B3, also known as Niacin. Niacin is essential for energy metabolism and can help improve cholesterol levels. Vitamin B1 is Thiamine, Vitamin B2 is Riboflavin, and Vitamin B12 is Cobalamin. These vitamins have different functions in the body and are not synonymous with Niacin.

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