ATI RN
ATI Perfusion Quizlet Questions
Question 1 of 5
The nurse assesses a patient who has numerous petechiae on both arms. Which question should the nurse ask the patient?
Correct Answer: C
Rationale: The correct answer is C: 'Do you take medication containing salicylates?' Petechiae are tiny, pinpoint, red or purple spots on the skin due to bleeding under the skin. Salicylates, which are found in medications like aspirin, interfere with platelet function and can lead to petechiae and ecchymoses. Asking about salicylate-containing medications is crucial in this situation.
Choices A, B, and D are incorrect because they are not directly related to the development of petechiae.
Question 2 of 5
An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to
Correct Answer: B
Rationale: In severe hemolytic anemia, the priority nursing intervention is to alternate periods of rest and activity. This approach helps to balance activity levels to prevent excessive fatigue while promoting mobility and preventing complications such as muscle weakness or deconditioning. Providing a diet high in vitamin K (choice
A) is not directly related to managing hemolytic anemia. Teaching the patient how to avoid injury (choice
C) is important but may not be the immediate priority. Placing the patient on protective isolation (choice
D) is not indicated for hemolytic anemia, as it is not a contagious condition.
Question 3 of 5
A 62-year-old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient's laboratory test findings to include
Correct Answer: B
Rationale: The correct answer is B. In chronic anemia, the hematocrit (Hct) value is a crucial indicator of the proportion of red blood cells in the blood. A hematocrit value of 38% indicates a lower than normal level of red blood cells, which aligns with the patient's symptoms of fatigue and palpitations.
Choices A, C, and D are incorrect because a low RBC count, normal RBC indices, and a hemoglobin level of 8.6 g/dL do not specifically address the decreased red blood cell mass associated with chronic anemia.
Question 4 of 5
Which statement by a patient indicates good understanding of the nurse¢â‚¬â„¢s teaching about prevention of sickle cell crisis?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A 52-year-old patient has a new diagnosis of pernicious anemia. The nurse determines that the patient understands the teaching about the disorder when the patient states:
Correct Answer: C
Rationale: The correct answer is C. Pernicious anemia is a condition where the body can't absorb enough vitamin B12. Treatment usually involves lifelong replacement of vitamin B12. In this case, the patient understanding the disorder is correctly demonstrated by choosing nasal spray or injections of vitamin B12 for replacement therapy.
Choices A, B, and D are incorrect because increasing red meat/liver intake, stopping wine consumption, or taking a proton pump inhibitor like omeprazole do not address the primary issue of vitamin B12 absorption in pernicious anemia.