ATI Nutrition Practice Test A 2019 Related

Review ATI Nutrition Practice Test A 2019 related questions and content

Which of the following actions would be of highest priority with regards to the external shunt?

  • A. Avoid taking blood pressure or blood sample from the arm with the shunt
  • B. Instruct the patient not to exercise the arm with the shunt
  • C. Heparinize the shunt daily
  • D. Change the dressing of the shunt daily
Correct Answer: C

Rationale: Heparinizing the shunt daily (choice C) is the highest priority action as it prevents the formation of blood clots that can occlude the shunt, leading to potential complications such as thrombosis. Avoiding taking blood pressure or blood samples from the arm with the shunt (choice A) is also important, but secondary to heparinizing the shunt. Similarly, instructing the patient not to exercise the arm with the shunt (choice B) can help prevent unnecessary strain on the shunt, but it is not as critical as preventing clot formation. Changing the dressing of the shunt daily (choice D) is a standard nursing care practice to prevent infection, but again, it is not as critical as ensuring the shunt remains patent through daily heparinization.