NEWEST ACTUAL predictor EXAM
COMPLETE test bank
ATI RN FUNDAMENTALS RETAKE 1
NEWEST ACTUAL predictor EXAM
COMPLETE test bank 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of
the following findings should the nurse intervene?
a. erythema on pressure points
b. lower-extremity pulse strength of 2+
c. fluid intake of 3,000 mL per day
d. one bowel movement every other day
a. erythema on pressure points
Erythema on pressure pointsErythema on pressure points requires prompt relief of pressure
and additional measures to protect the skin from breakdown.
Lower-extremity pulse strength of 2+A lower-extremity pulse strength of 2+ is an expected
finding.
Fluid intake of 3,000 mL per day. Clients should receive 2,000 to 3,000 mL of fluid per day.
One bowel movement every other dayBowel movements less frequent than three times per
week can indicate constipation and the need for intervention. However, a bowel movement
every other day does not require intervention.
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings
through an open system. Which of the following actions should the nurse take first?
A BOMB 1