ATI RN
Concepts for Nursing Practice Giddens Test Bank Questions
Question 1 of 5
A client who had outpatient surgery is given an instruction sheet in preparation for discharge. When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect?
Correct Answer: A
Rationale: The nurse would suspect that the client may be unable to read the instructions because the client mentioned needing glasses to read them later. Additionally, the client also stated that everything they need to know has already been told to them by the nurse, indicating potential difficulty with reading or understanding written instructions. It would be important for the nurse to explore further and provide alternative methods of communication or support to ensure the client receives and comprehends the necessary information for postoperative care.
Question 2 of 5
The nurse is instructing a client on lifestyle changes to promote a healthy cardiovascular system. Which of the following should be included in this teaching session? Select all that apply.
Correct Answer: B
Rationale: In teaching a client about lifestyle changes to promote a healthy cardiovascular system, it is essential to emphasize accurate information to ensure optimal health outcomes. The correct answer, reducing saturated fats in the diet (Option
B), is crucial because a diet high in saturated fats can lead to elevated cholesterol levels and increase the risk of cardiovascular diseases like atherosclerosis and hypertension. By limiting saturated fats, individuals can improve their heart health and overall well-being.
Option A, limiting exercise to 15 minutes a day, is incorrect because regular physical activity is vital for cardiovascular health. Exercise helps strengthen the heart, improve circulation, and maintain a healthy weight. Encouraging clients to engage in at least 30 minutes of moderate exercise most days of the week is more appropriate guidance.
Option C, avoiding cigarette smoking, is also a crucial lifestyle change to promote cardiovascular health. Smoking is a leading risk factor for heart disease as it damages blood vessels, increases blood pressure, and reduces oxygen delivery to the heart.
Therefore, smoking cessation is a priority in cardiovascular health promotion.
Option D, wearing elastic hose, is not directly related to promoting a healthy cardiovascular system through lifestyle changes. Elastic hose may be recommended for specific conditions like venous insufficiency to improve circulation in the legs but is not a primary preventive measure for overall cardiovascular health.
In an educational context, teaching clients about lifestyle modifications for cardiovascular health is a key aspect of nursing practice. Providing evidence-based information empowers individuals to make informed choices that can positively impact their well-being. By explaining the rationale behind each recommendation, nurses can effectively guide clients towards adopting healthier habits and reducing their risk of cardiovascular diseases.
Question 3 of 5
A 72-year-old client diagnosed with hypertrophic cardiomyopathy (HCM) is speaking to the healthcare team about treatment options. Which treatment option would likely not be recommended for this client, even though it is commonly used to treat younger clients with this condition?
Correct Answer: D
Rationale: Although physical activity restrictions are commonly recommended for younger clients with hypertrophic cardiomyopathy (HCM) to reduce the risk of sudden cardiac death, this may not be the best option for a 72-year-old client. Older adults can still benefit from regular physical activity to maintain overall health and mobility. It is important to individualize the exercise recommendations based on the client's overall health status, functional capacity, and specific considerations related to their condition. In this case, the healthcare team would likely focus on other treatment options such as beta-blocker or calcium channel blocker administration, and consider the potential benefits of defibrillator implantation for the older client with HCM.
Question 4 of 5
A client recovering from an acute myocardial infarction is prescribed aspirin. Which teaching points should the nurse include regarding this prescription? Select all that apply.
Correct Answer: B
Rationale: In this scenario, option B, "Check with your healthcare provider before taking herbal remedies," is the correct teaching point regarding the prescription of aspirin for a client recovering from an acute myocardial infarction. This is crucial because herbal remedies can interact with aspirin and impact its effectiveness or lead to adverse effects.
Option A, "Report any itching after seven days of taking," is incorrect as itching is not a common or significant side effect of aspirin and does not pose a serious threat to the client's health in this context.
Option C, "Take at a different time of day than warfarin," is incorrect because aspirin and warfarin do not have specific timing requirements that necessitate them being taken at different times of the day.
Option D, "Report bleeding or bruising to the healthcare provider," is also incorrect as while aspirin can increase the risk of bleeding, it is a well-known side effect that does not require immediate reporting unless it is severe or persistent.
For nursing students, understanding the importance of checking with healthcare providers before taking any additional medications or herbal remedies is crucial to ensure patient safety and optimal treatment outcomes. It also highlights the significance of medication interactions and the role of nursing in educating clients about medication management.
Question 5 of 5
Both a 40-year-old male and a 70-year-old male are placed on anticoagulant therapy after diagnosis of a deep vein thrombosis (DVT). When providing teaching to these clients about their medication, how should the nurse individualize care for each?
Correct Answer: A
Rationale: The correct answer is that the younger client will need more frequent monitoring than the older client. This is because age can influence how the body processes medications, including anticoagulants. While older adults may require lower dosages due to changes in metabolism and potential increased sensitivity to medications, they may still require less monitoring than younger individuals. The younger client may need more frequent monitoring to ensure the anticoagulant is being effective and not causing any adverse effects, given variations in metabolism and potential multi-drug interactions. Age is just one factor to consider when individualizing care for clients on anticoagulant therapy, and close monitoring is essential for both age groups.