ATI RN
ATI Perfusion Quizlet Questions
Question 1 of 5
A 44-year-old with sickle cell anemia who says his eyes always look sort of yellow
Correct Answer: B
Rationale: Choice B is the correct answer because the scenario describes a 50-year-old with early-stage chronic lymphocytic leukemia who presents with chronic fatigue. Chronic lymphocytic leukemia commonly presents with symptoms like fatigue, weight loss, and enlarged lymph nodes. The other choices are less likely as they do not match the clinical presentation described in the scenario. Choice A describes a 23-year-old with a nontender lump in the axilla, which is more suggestive of a benign condition like a lipoma. Choice C describes a 19-year-old with hemophilia who wants to learn to self-administer factor VII replacement, which is unrelated to the symptoms of chronic lymphocytic leukemia. Choice D repeats the scenario, which is not relevant in selecting the appropriate answer.
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
Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?
Correct Answer: A
Rationale: In this scenario, option A is the correct answer. The patient stating they will call their health care provider if their stools turn black indicates a need for additional instruction about taking oral ferrous sulfate. This is because black stools are a common and harmless side effect of ferrous sulfate due to its iron content. It is important for the patient to understand that this side effect is expected and not a cause for concern. Option B is incorrect because it is a good practice for patients taking iron supplements to also take a stool softener to prevent constipation, so this statement does not indicate a need for additional instruction. Option C is incorrect because taking iron with orange juice about an hour before eating is a correct instruction for enhancing iron absorption, so this statement does not indicate a need for additional instruction. Option D is incorrect because increasing fluid and fiber intake while taking iron tablets is also a correct instruction to prevent constipation, so this statement does not indicate a need for additional instruction. Educationally, this question highlights the importance of patient education when administering medications. It emphasizes the need for nurses to provide clear instructions to patients about expected side effects and when to seek further medical advice. This helps ensure patient safety and adherence to the prescribed treatment regimen.
Question 4 of 5
Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?
Correct Answer: B
Rationale: The correct answer is B: Potential complication: infection. Patients with idiopathic aplastic anemia have pancytopenia, which puts them at a high risk for infections due to decreased production of all blood cells (red blood cells, white blood cells, and platelets). Infection is a significant concern in these patients. Choices A, C, and D are incorrect because seizures, neurogenic shock, and pulmonary edema are not typically associated with idiopathic aplastic anemia. While seizures can occur in some conditions that affect the brain, neurogenic shock is related to spinal cord injury, and pulmonary edema is more commonly seen in conditions like heart failure.
Question 5 of 5
When providing care for a patient with sickle cell crisis, what is important for the nurse to do?
Correct Answer: B
Rationale: The correct answer is to evaluate the effectiveness of opioid analgesics. In sickle cell crisis, pain is the most common symptom and is usually managed with large doses of continuous opioids. Monitoring fluid intake (Choice A) is important, but limiting fluids may not be necessary. Encouraging ambulation (Choice C) is generally good but may not be the priority during a sickle cell crisis. Educating the patient about nutrition (Choice D) is important for overall health but may not be the immediate focus during a crisis.