ATI RN · Concepts in Nursing · Transcultural Concepts in Nursing Care Answers Test Banks
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Showing all 5 practice questions with expert explanatory rationales.
Which client has the highest risk of developing peripheral vascular disease (PVD)?
Expert Explanatory Rationale
Correct Answer: 83-year-old African American male
The nurse is concerned that a client with an alteration in perfusion is at risk for inadequate oxygenation. What should the nurse consider when planning for this client's potential health problem?
Expert Explanatory Rationale
Correct Answer: Positioning to increase blood return
The nurse is providing teaching about infusion of albumin 5% to a client recovering from hypovolemic shock. Which statement by the client indicates that teaching was effective?
Expert Explanatory Rationale
Correct Answer: "It's a protein that pulls water into my blood vessels."
During an assessment, a client with left-sided congestive heart failure (CHF) and severe shortness of breath tells the nurse about not having enough money to purchase medications. What nursing diagnosis is of the greatest initial importance when planning care?
Expert Explanatory Rationale
Correct Answer: Ineffective Health Management
The nurse is caring for a patient in the spinal shock phase following a spinal cord injury. Which action is the most appropriate to maintain this patient's bladder functioning?
Expert Explanatory Rationale
Correct Answer: Assess for urinary retention following each voiding
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