ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
A client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first?
Correct Answer: B
Rationale: The nurse should first pick up the internal radioactive implant with long-handled forceps and place it in a lead-lined container. This action ensures the safety of the nurse and prevents further exposure to radiation. Handling the implant with forceps helps minimize direct contact, and placing it in a lead-lined container containing the radiation will effectively shield any further exposure. Once the implant is secured, proper authorities should be notified to take further action and ensure the client's safety.
Question 2 of 5
To treat cervical cancer, a client has had an applicator of radioactive material placed in the vagina. Which observation by the nurse indicates a radiation hazard?
Correct Answer: B
Rationale: Keeping the head of the bed at a 30-degree angle can dislodge the applicator of radioactive material placed in the vagina. When caring for a client with a radioactive applicator, it is important to ensure that the position of the applicator is maintained to prevent radiation exposure to staff and other clients. This can be achieved by keeping the head of the bed flat without elevation. The other options are appropriate measures in caring for a client with a radioactive applicator.
Question 3 of 5
A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (sub-arachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of anesthesia?
Correct Answer: B
Rationale: Special positioning is required for a spinal (sub-arachnoid) block to prevent cerebrospinal fluid (CSF) leakage. The client is usually positioned in either a sitting or lateral decubitus position to allow for easier access to the spinal canal and ensure proper administration of the anesthesia. Maintaining the correct positioning helps to minimize the risk of CSF leakage, which can result in headaches and potential complications postoperatively. By positioning the client appropriately during the procedure, healthcare providers can optimize the effectiveness of the spinal block while reducing the risk of adverse effects.
Question 4 of 5
A client with advanced liver cancer is scheduled for chemotherapy. As part of the chemotherapy regimen, the nurse expects the physician to prescribe:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which of the following is a nurse patient care role in the preoperative phase?
Correct Answer: A
Rationale: In the preoperative phase, one of the key roles of a nurse in patient care is to obtain preoperative orders. This involves ensuring that all necessary tests, medications, and procedures are in place before the surgery is performed. By obtaining preoperative orders, the nurse ensures that the patient is adequately prepared for the surgical procedure and that any potential risks or complications are minimized. This role requires attention to detail, clear communication with the healthcare team, and a thorough understanding of the patient's individual needs and medical history.