ATI RN
Client Comfort and End of Life Care ATI Quizlet Questions
Question 1 of 5
A client asks the nurse why pain medication is given before dressing changes. What would be the basis of the nurse's response?
Correct Answer: B
Rationale: The basis of the nurse's response is to reduce discomfort, as pain medication before dressing changes preempts pain from tissue manipulation, especially in wounds (e.g., burns), ensuring the procedure is tolerable and effective. Timing (e.g., 30 minutes prior) aligns peak relief with activity. Choice A, prevent infection, is unrelatedanalgesics don't sterilize; that's antiseptics' role. Choice C, speed healing, isn't directpain control aids comfort, not tissue repair rates. Choice D, increase sedation, may occur but isn't the goalrelief, not sleep, drives dosing. Choice B is correct, explaining preemptive analgesianurses use this to minimize procedural pain, enhancing client cooperation and healing by preventing distress spikes during sensitive interventions like dressing changes.
Question 2 of 5
A 65-year-old female who has diabetes mellitus and has sustained a large laceration on her left wrist asks the nurse, 'How long will it take for my scars to disappear?' Which statement would be the nurse's best response?
Correct Answer: C
Rationale: Diabetes mellitus delays wound healing due to impaired circulation, reduced immune response, and poor collagen formation, complicating predictions for a 65-year-old patient with a large wrist laceration. Choice C'With your history and the type of location of the injury, it's hard to say'is the best response because it acknowledges these variables without giving a definitive, potentially inaccurate timeline. Choice A (2 to 3 years') refers to the remodeling phase but overgeneralizes, as diabetes may prolong this. Choice B (within 4 months') is overly optimistic, as diabetic healing often exceeds this, especially for large wounds. Choice D (1 to 3 years') assumes no infection but still provides a broad, uncertain range. The nurse must avoid false reassurance; diabetes and age increase infection risk and slow tissue repair, while the wrist's mobility may further delay healing. Choice C's ambiguity reflects clinical reality, encouraging follow-up discussion, making it the most appropriate and correct response.
Question 3 of 5
A male client on prolonged bed rest has developed a pressure ulcer. The wound shows no signs of healing even though the client has received skin care and has been turned every 2 hours. Which factor is most likely responsible for the failure to heal?
Correct Answer: B
Rationale: Pressure ulcers require optimal nutrition for healing, and inadequate protein intake (Choice B) is the most likely reason for non-healing despite repositioning and skin care. Protein is essential for collagen synthesis, tissue repair, and immune function; deficiency causes negative nitrogen balance, stalling granulation and epithelialization. Prolonged bed rest already reduces muscle mass, exacerbating protein needs. Vitamin D (Choice A) aids calcium absorption for bone health, not directly wound healing, though it supports overall recovery. Massaging the affected area (Choice C) is contraindicated, as it damages fragile tissue, and isn't part of standard care here. Low calcium (Choice D) affects bones more than soft tissue repair. For example, a client needing 1.5-2 g/kg protein daily but receiving less won't heal, even with turning, as protein fuels fibroblast activity and angiogenesis. Thus, Choice B is the correct and primary factor.
Question 4 of 5
A male client blood test results are as follows: white blood cell (WBC) count, 100ul; hemoglobin (Hb) level, 14 g/dl; hematocrit (HCT), 40%. Which goal would be most important for this client?
Correct Answer: B
Rationale: A WBC count of 100/µL (normal: 4,500-11,000) indicates severe leukopenia, likely neutropenia, making infection prevention (Choice B) the most important goal. With Hb (14 g/dL, normal: 13.5-17.5) and HCT (40%, normal: 38-50%) within range, anemia or fluid imbalance isn't a concern, ruling out fluid balance (Choice A) and rest (Choice C). Injury prevention (Choice D) is less urgent, as bleeding risk requires low platelets, not specified here. A WBC this lowe.g., post-chemotherapyleaves the client defenseless against pathogens; even minor infections can become septic. Interventions like isolation, hand hygiene, or antibiotics prioritize this risk. For example, a fever in neutropenia is a medical emergency, unlike fatigue or bruising. Survival hinges on infection control, making Choice B the correct and critical goal.
Question 5 of 5
What name is given to the rhythmic biologic clock that exists in humans?
Correct Answer: C
Rationale: The rhythmic biologic clock in humans is the 'circadian rhythm' , a roughly 24-hour cycle governed by the hypothalamic suprachiasmatic nucleus (SCN), syncing bodily functions like sleep, temperature, and hormone release to day-night cues. 'Sleep-wake cycle' is a component of this rhythm, not its name; it's the observable outcome, not the mechanism. 'Alert-unaware process' is fictitious, lacking scientific basis. 'Yo-yo theory' doesn't exist in sleep science. For instance, the SCN adjusts melatonin release at dusk, promoting sleep, and cortisol at dawn, enhancing alertnessdisruptions (e.g., jet lag) show its 24-hour rule. Nursing education, per Taylor, emphasizes circadian rhythm as the internal pacemaker, evident in shift workers' struggles. Unlike a mere cycle, it's a genetically driven clock, making Choice C the precise term and correct answer.