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Practice Question

A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?

Answer Choices:

Correct Answer:

I should limit the time that I spend sitting in a chair

Rationale:

⏺Clients at risk for venous thromboembolism (VTE)—including those who are post-surgical, immobile, or have comorbidities—must avoid prolonged sitting.

⏺Venous stasis from immobility promotes clot formation, particularly in the lower extremities.

⏺Encouraging movement, even short walks or frequent position changes, improves circulation and venous return.

⏺Nurses must educate clients to stand, walk, or elevate their legs frequently to reduce VTE risk.

⏺Clients who must sit should be instructed to do so in short intervals with active foot exercises.

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This question is from RN Fundamentals 2019~Exam 2 which contains 54 questions.

More Questions from This Exam
A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?

Answer Choices:

A. Inserting an NG tube
B. Performing a simple dressing change
C. Evaluating the healing of an incision
D. Changing IV tubing
A nurse is documenting client care. Which of the following abbreviations should the nurse use?

Answer Choices:

A. SS for sliding scale
B. OJ for orange juice
C. SQ for subcutaneous
D. BRP for bathroom privileges
A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?

Answer Choices:

A. Recommend small changes for the client to make to change her behavior over time.
B. Assist the client in setting goals to make the change.
C. Develop a plan for the client to integrate the change into her lifestyle.
D. Present information about the benefits of quitting smoking.
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?

Answer Choices:

A. A weight gain of 0.81 kg (2 lb) in 2 days
B. A blood glucose level of 110 mg/dL
C. Diarrhea one time in a 24-hr period
D. A gastric residual of 300 mL at the end of the shift
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?

Answer Choices:

A. Heat the formula to (1050F).
B. Aspirate residual volume every 4hr
C. Flush the tubing with 10 mL of water every 2hr.
D. Change the tubing set every 72hr
From Exam
RN Fundamentals 2019~Exam 2

54 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Fundamentals of Nursing
  • Answer Choices: 4
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