ATI RN
Basic Care of Dying Patient Questions
Question 1 of 5
A 46-year-old female with chronic constipation is assessed by the nurse for a bowel training regimen. Which factor indicates further information is needed by the nurse?
Correct Answer: D
Rationale: Foods high in bulk are appropriate. Exercise should be a part of a bowel training regimen. To assess the client for a bowel training program the factors causing the bowel alteration should be assessed. A routine for bowel elimination should be based on the client's previous bowel habits and alterations in bowel habits that have occurred because of illness or trauma.
Question 2 of 5
The nurse is preparing a patient for surgery. Which goal is a priority for assessing the patient before surgery?
Correct Answer: B
Rationale: The correct answer is B: Establish a patient's baseline of normal function. Before surgery, assessing the patient's baseline helps identify any deviations from normal, enabling early detection of potential complications. It provides crucial information for planning perioperative care and interventions. Choice A (Plan for care after the procedure) is important but not the priority. Assessing the patient's baseline comes first to ensure a smooth surgical process. Choice C (Educate the patient and family about the procedure) is essential, but assessing the baseline takes precedence to ensure patient safety. Choice D (Gather appropriate equipment for the patient's needs) is necessary but is a task that usually follows the assessment of the patient's baseline.
Question 3 of 5
The nurse is caring for a postoperative patient who has had a minimally invasive carpel tunnel repair. The patient has a temperature of 97° F and is shivering. Which reason will the nurse most likely consider as the primary cause when planning care?
Correct Answer: A
Rationale: The correct answer is A: Anesthesia lowers metabolism. Anesthesia can cause hypothermia by decreasing the body's ability to regulate temperature, leading to shivering as a compensatory mechanism. Shivering helps increase heat production. Choices B, C, and D are incorrect as they do not directly relate to the primary cause of the patient's shivering in this context. Choice B is irrelevant as it does not address the physiological reason for the shivering. Choice C is not the primary cause as wearing a gown alone would not lead to shivering. Choice D is incorrect as it refers to a large open body cavity, which is not relevant in a minimally invasive carpal tunnel repair.
Question 4 of 5
Which of the following findings is most concerning in a patient with chest pain?
Correct Answer: C
Rationale: The correct answer is C: Shortness of breath and diaphoresis. This combination indicates possible heart-related issues like a heart attack. Shortness of breath suggests inadequate oxygen supply, and diaphoresis (excessive sweating) may indicate severe stress on the heart. It is concerning as it can signify a life-threatening condition. A: A burning sensation after eating is likely related to acid reflux. B: Pain that improves with rest is typically seen in musculoskeletal issues. D: Pain that worsens with palpation is more indicative of musculoskeletal or chest wall pain, not necessarily a cardiac event.
Question 5 of 5
You are transporting a 20-year-old pregnant female from a local hospital to a medical facility that specializes in high-risk pregnancies when you note the patient is experiencing unexplained hypotension and bradycardia. The patient has a patent IV and is being administered magnesium that was initiated by hospital staff. On the cardiac monitor, the patient presents with a lengthening PR interval and signs of an impending high-degree nodal block. Which of the following interventions would be most appropriate in this case?
Correct Answer: B
Rationale: The correct answer is B: Stop the magnesium sulfate infusion immediately, and administer the appropriate dose of calcium chloride to correct the adverse effects of magnesium toxicity. Rationale: 1. **Stop magnesium infusion**: Magnesium toxicity can cause hypotension, bradycardia, and high-degree nodal block, hence stopping the infusion is crucial. 2. **Administer calcium chloride**: Calcium is the antidote for magnesium toxicity as it competes with magnesium for binding sites, reversing its effects. 3. **Corrects adverse effects**: Calcium chloride helps in counteracting the negative effects of magnesium on the cardiovascular system. Summary: - **Option A**: Increasing magnesium and giving saline won't address magnesium toxicity. - **Option C**: Potassium won't counteract magnesium toxicity. - **Option D**: Reducing infusion and giving dextrose won't correct magnesium toxicity.