Practice Question
A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?
Answer Choices:
Correct Answer:
"Dangle your legs over the side of the bed."
Rationale:
➤ Orthostatic hypotension occurs when blood pressure drops upon sudden position changes, especially after prolonged bed rest.
➤ Dangling the legs before standing allows for gradual adjustment of circulation and helps prevent dizziness or falls.
➤ Isometric exercises, protein intake, and spirometry support recovery but do not address immediate orthostatic risks.
➤ This precaution improves safety during the client’s first ambulation.
Want to practice more questions like this?
This question is from ATI PN Fundamentals~2023 which contains 58 questions.
More Questions from This Exam
A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?
Answer Choices:
A. "I drink two hot cups of coffee each morning."
B. "I love to eat apples and black-eyed peas."
C. "I take a prescribed opioid pain medication at bedtime."
D. "I drink an average of 2,000 milliliters of water daily."
A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Answer Choices:
A. Contact facility security to remove the nurse from the unit.
B. Complete an incident report about the breach of confidentiality.
C. Remind the nurse that only staff caring for the client may access the client's record.
D. Tell the nurse that permission from the risk manager is required to view the client's record.
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Answer Choices:
A. Assess the pain level of a client who has received acetaminophen.
B. Measure the intake and output of a client who has received furosemide.
C. Check a client's peripheral IV site for redness or swelling.
D. Reinforce teaching with a client about crutch-gait walking.
A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?
Answer Choices:
A. Speech-language pathologist
B. Respiratory therapist
C. Occupational therapist
D. Registered dietitian
A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?
Answer Choices:
A. Apply the belt restraint over the client's gown.
B. Check the client's skin integrity every 4 hr.
C. Tie the belt restraint to the side rail of the bed.
D. Make sure four fingers fit between the restraint and the client's body.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4