ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 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 2 of 5
Which of the ff is the primary sign of breast cancer?
Correct Answer: D
Rationale: The primary sign of breast cancer is usually a painless mass or lump in the breast. This mass or lump may feel hard, irregularly shaped, and different from the surrounding breast tissue. It is important to note that not all breast lumps are cancerous, but it is crucial to seek medical evaluation if you notice any new or unusual changes in your breast tissue. Other signs such as a bloody discharge from the nipple, retraction of the nipple, or dimpling of the skin over the lesion can also be associated with breast cancer, but the presence of a painless mass in the breast is typically the most common initial indication of the disease.
Question 3 of 5
A patient is being taught the action of digoxin, which is an inotropic agent. The nurse defines an inotropic agent as a medication that has which of the following actions?
Correct Answer: D
Rationale: An inotropic agent, such as digoxin, is a medication that strengthens the contraction of the heart muscle. It works by increasing the force of each heartbeat, helping the heart pump more efficiently. This can be beneficial in conditions such as heart failure or certain types of arrhythmias where the heart's pumping ability is compromised. Inotropic agents do not decrease heart rate, increase conduction time, or increase heart rate; their primary action is to enhance the heart's contractility.
Question 4 of 5
Which common side effect of metolazone (Zaroxolyn) should the nurse instruct a patient to report to the health- care provider?
Correct Answer: C
Rationale: Metolazone, a diuretic medication commonly known as Zaroxolyn, can cause electrolyte imbalances in the body, particularly low potassium levels which can lead to muscle weakness. Therefore, the nurse should instruct the patient to report any signs or symptoms of muscle weakness to the healthcare provider promptly. Numb hands, gastrointestinal distress, and nightmares are not common side effects of metolazone that typically require urgent medical attention.
Question 5 of 5
Which of the following settings is most therapeutic for an agitated head-injured patient?
Correct Answer: B
Rationale: For an agitated head-injured patient, the most therapeutic setting would be a semiprivate room with one or two consistent caregivers. Consistency and familiarity can help reduce agitation and promote a sense of security for the patient. A quieter environment with fewer stimuli can also help in managing agitation and promoting a sense of calmness. By having consistent caregivers, the patient can build trust and feel more comfortable, which can contribute to their overall well-being and recovery. It is essential to minimize external factors that could contribute to further agitation, making a semiprivate room with consistent caregivers the most optimal setting for an agitated head-injured patient.