Questions 37

ATI RN

ATI RN Test Bank

jarvis physical examination and health assessment 9th edition test bank Questions

Question 1 of 5

A nurse is caring for a patient with a history of hypertension and diabetes. The nurse should monitor for which of the following complications?

Correct Answer: B

Rationale:
Step 1: The patient has a history of hypertension and diabetes, putting them at risk for cardiovascular complications.

Step 2: Among the choices, stroke is a common complication associated with uncontrolled hypertension and diabetes.

Step 3: Monitoring for signs of stroke is crucial to prevent serious consequences in this patient population.

Step 4: Hyperglycemia (
A) is a common complication of diabetes, but it is not directly related to the patient's hypertension.

Step 5: Hypokalemia (
C) is an electrolyte imbalance that can occur in some conditions but is not as directly linked to the patient's history.

Step 6: Hypoglycemia (
D) is a potential complication in diabetic patients but is not as common as hyperglycemia and is not directly related to hypertension.

Question 2 of 5

The review of systems provides the nurse with:

Correct Answer: B

Rationale:
Step 1: The review of systems is a systematic approach to assessing the patient's overall health.

Step 2: It gathers information about symptoms across different body systems.

Step 3: This information helps identify potential health risks and guide health promotion practices.

Step 4:
Choice B is correct as it aligns with the purpose of the review of systems.
Summary:
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Choice A is incorrect because it focuses on physical findings only, not the comprehensive assessment.
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Choice C is incorrect as the review of systems is not primarily for teaching medical terms.
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Choice D is incorrect as it does not provide enough information for diagnosing specific medical problems.

Question 3 of 5

A patient with diabetes is being discharged after a prolonged hospitalization. Which of the following should the nurse include in discharge instructions?

Correct Answer: A

Rationale: The correct answer is A. Regularly checking blood glucose levels is crucial for diabetic patients to monitor their condition and adjust treatment as needed. This helps in managing blood sugar levels effectively and preventing complications.


Choice B is incorrect because stopping insulin abruptly can lead to dangerous fluctuations in blood sugar levels.


Choice C is incorrect because while exercise is important for diabetic patients, vigorous exercise every day may not be suitable for everyone and should be discussed with healthcare providers.


Choice D is incorrect as carbohydrates are an essential source of energy and nutrients for the body. Diabetic patients can still consume carbohydrates in controlled portions as part of a balanced diet.

Question 4 of 5

A nurse is teaching a patient about managing hypertension. Which of the following statements by the patient indicates the need for further education?

Correct Answer: C

Rationale: The correct answer is C. This statement indicates the need for further education because it suggests the patient plans to stop taking medication once blood pressure is normal, which can lead to hypertension returning. Monitoring blood pressure, taking medication as prescribed, and decreasing sodium intake are all appropriate actions for managing hypertension. Stopping medication abruptly can be dangerous and should only be done under a healthcare provider's guidance.

Question 5 of 5

When nursing diagnoses are being classified, which of the following would be considered a risk diagnosis?

Correct Answer: C

Rationale: The correct answer is C because a risk diagnosis involves identifying potential problems that an individual may develop in the future. This type of diagnosis focuses on preemptive measures to prevent or minimize the risk of these potential issues occurring. This is different from options A, B, and D, which do not pertain to future potential problems but rather current levels of wellness, past problems and goals, and strengths respectively.
Therefore, option C best aligns with the concept of risk diagnosis in nursing classification.

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