A client with a history of heart disease takes prophylactic aspirin daily. The nurse should monitor which of the following to prevent aspirin toxicity?

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Question 1 of 5

A client with a history of heart disease takes prophylactic aspirin daily. The nurse should monitor which of the following to prevent aspirin toxicity?

Correct Answer: D

Rationale: Monitoring serum albumin prevents aspirin toxicity. Aspirin binds albumin; low levels increase free drug, risking toxicity, per pharmacology. Potassium , protein , and lactose don't directly relate. D guides safe dosing in heart disease.

Question 2 of 5

The nurse is speaking to a group of parents and elementary school teachers about care for children with rheumatic fever. It is a priority to emphasize that

Correct Answer: D

Rationale: Clumsiness and behavior changes should be reported' is the priority in rheumatic fever. These signal chorea or carditis, per pediatric cardiology, requiring urgent evaluation. Schooling , duration , and play are secondary. D prevents complications.

Question 3 of 5

A client has a chest tube inserted following a left lower lobectomy required by a stab wound to the chest. While repositioning the client, the nurse notices 200 cc of dark, red fluid flows into the collection chamber of the chest drain. What is the most appropriate nursing action?

Correct Answer: D

Rationale: Continuing to monitor the rate of drainage is most appropriate. 200 cc of dark red fluid post-lobectomy is expected initially, per surgical nursing. Clamping risks tension pneumothorax, calling or transfusion is premature without trends. D assesses stability.

Question 4 of 5

Several clients are admitted to an adult medical unit. For which client condition(s) would the nurse institute airborne precautions?

Correct Answer: B

Rationale: A positive PPD with abnormal chest X-ray requires airborne precautions. It suggests active TB, per CDC guidelines, needing isolation. CMV , viral pneumonia , and carcinoma don't typically require airborne. B prevents TB spread.

Question 5 of 5

Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella infection?

Correct Answer: A

Rationale: Washing hands thoroughly before and after contact is the primary intervention for Salmonella. It prevents fecal-oral transmission, per infection control standards, universally effective. Gloves (B, C, D) supplement but handwashing is foundational. A limits spread.

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