ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
A client who is NPO, comatose, and receiving oxygen has cracked lips, dry mucus membranes, swollen gums, and caked mucus on the tongue and teeth. The best intervention is to:
Correct Answer: A
Rationale: The correct answer is A: Swab the oral cavity with a normal saline solution as needed. This intervention is the best choice as it helps to keep the oral cavity moist, clean, and free from infection. Normal saline is gentle, non-irritating, and helps to maintain hydration. Cracked lips, dry mucus membranes, and caked mucus can lead to discomfort and potential infection in a comatose client. Summary: - Choice B (Swab the mouth every half-hour with lemon-glycerin swabs) is incorrect as lemon-glycerin swabs may irritate the oral mucosa and are not suitable for continuous use. - Choice C (Swab lips and mucus membranes with mineral oil) is incorrect as mineral oil can be harmful if aspirated and does not provide hydration. - Choice D (Swab the oral cavity with hydrogen peroxide followed with water) is incorrect as hydrogen peroxide can be harsh on delicate oral tissues and is not recommended for
Question 2 of 5
While doing nasopharyngeal suctioning on the client, the nurse can avoid trauma to the area by:
Correct Answer: C
Rationale: Rationale for correct answer (C): Applying no suction while inserting the catheter prevents trauma to the nasopharyngeal area by reducing the risk of damaging the delicate tissues. Inserting the catheter without applying suction allows for gentle and safe placement without causing injury. Summary of why other choices are incorrect: A: Applying suction for at least 60 seconds is not recommended as it can lead to excessive pressure and trauma to the area. B: While using clean gloves is important for infection control, it does not directly prevent trauma during suctioning. D: Rotating the catheter with gentle suction may still pose a risk of trauma as the twisting motion can cause damage to the tissues.
Question 3 of 5
When bandaging a client's foot, the nurse will:
Correct Answer: B
Rationale: The correct answer is B: Work from proximal to distal. This approach ensures proper blood flow and prevents swelling. Starting from the farthest point (proximal) and moving towards the end (distal) helps maintain circulation and reduces the risk of constriction. Working from anterior to posterior (C) or covering the toes in a spiral (D) can impede circulation. Hyperextending the foot (A) is unnecessary and can cause discomfort. Thus, working from proximal to distal is the most appropriate method for bandaging a client's foot.
Question 4 of 5
The client is prescribed Potassium iodide (Lugol’s solution), the nurse should teach the client:
Correct Answer: B
Rationale: The correct answer is B: To drink the solution using a straw. This method helps minimize the risk of staining the teeth because Lugol's solution can cause discoloration. Using a straw also helps bypass the taste buds on the tongue, reducing the unpleasant taste. Choices A and C are incorrect as they do not address the potential side effects of staining or taste. Choice D is incorrect because Potassium iodide is typically administered orally, not via intramuscular injection.
Question 5 of 5
Nurse Krizia should insert the rectal tube of the enema in an adult _____:
Correct Answer: C
Rationale: The correct answer is C (3-4 inches) because inserting the rectal tube of the enema to this depth ensures proper placement into the rectum without causing discomfort or injury. Inserting too shallow (A and B) may not reach the rectum, leading to ineffective treatment. Inserting too deep (D) can cause injury to the colon. The rectal tube should be inserted to a depth of 3-4 inches to ensure the enema solution reaches the desired area for effective administration.