2024 ATI Custom Medical Surgical Nurse Exam
2 New Latest Versions with All Questions and
100% Correct Answers
Question 1:
A nurse in an urgent care center is caring for a client who fell and injured her
ankle. The ankle appears swollen and ecchymotic. Which of the following
interventions should the nurse take? (Select all that apply)
A. Apply a compression bandage to the client's ankle.
B. Apply heat to the client's ankle.
C. Encourage the range of motion of the client's foot.
D. Elevate the client's foot.
E. Check the client's toes for color, temperature, and sensation.
Show correct answer and explanation
Explanation
These are the correct interventions that the nurse should take. Applying a
compression bandage to the client's ankle can help reduce swelling and provide
support to the injured area. Elevating the client's foot can also help reduce
swelling by promoting venous return. Checking the client's toes for color,
temperature, and sensation is important to assess for any potential nerve or
vascular damage.
Applying heat to the client's ankle is not recommended as it can increase
swelling and inflammation. Encouraging range of motion of the client's foot is
also not recommended as it can cause further injury to the affected area.
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