which client is at highest risk of compromised immunity

ATI RN

Multi Dimensional Care | Exam | Rasmusson

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

A. A client who just had surgery
B. A client who just delivered a baby
C. A client with extreme anxiety
D. A client who is awaiting surgery

Correct answer: A

Rationale:

2. A client arrives speaking only Spanish. What is the priority nursing intervention?

A. Give the client a tour of the unit
B. Verify the reason for admission
C. Request a medical interpreter
D. Call the chaplain for support

Correct answer: C

Rationale:

3. A client sustained a crushing injury to his right arm during a car accident. He arrives to the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first?

A. Assess the right radial pulse
B. Call the provider
C. Administer pain medication
D. Assess the right pedal pulse

Correct answer: A

Rationale: Assessing the radial pulse checks for adequate circulation and potential complications.

4. The nurse uses proper body mechanics to move a client up in bed. What action by the nurse will increase their risk of a workplace injury?

A. Place the bed in the lowest possible position
B. Use the legs when lifting
C. Keep feet apart to provide a wide base of support
D. Face the direction of the movement

Correct answer: A

Rationale: Placing the bed in the lowest possible position increases the risk of injury because it does not support proper body mechanics. When lifting a client, it is important to have the bed at a comfortable height to avoid strain. Using the legs when lifting (choice B) is correct as it reduces the strain on the back. Keeping feet apart to provide a wide base of support (choice C) helps with stability and balance. Facing the direction of the movement (choice D) is essential for maintaining proper alignment and reducing the risk of injury.