which client is at highest risk of compromised immunity
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Which client is at highest risk of compromised immunity?

Correct answer: A

Rationale:

2. Which finding is not typically associated with inflammation in a client?

Correct answer: C

Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.

3. A well-rounded fitness program focuses on flexibility, resistance training and aerobic conditioning. What statements are true about a well-rounded fitness program? (Select all that apply)

Correct answer: D

Rationale: Resistance training, proper stretching, and exercise duration/intensity contribute to a well-rounded fitness program.

4. A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?

Correct answer: B

Rationale: The correct explanation for irreversible vision loss in glaucoma is that once the tissue has necrosed from high pressure, it does not regenerate. This necrosis occurs due to the damage caused by increased intraocular pressure, which leads to irreversible damage to the optic nerve and retinal tissue. Choices A, C, and D are incorrect because they do not directly address the specific mechanism of irreversible vision loss in glaucoma, which is necrosis due to high pressure.

5. A client recently had an above the knee amputation and complains of pain distal to the amputation. What type of pain is the client experiencing?

Correct answer: A

Rationale:

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