ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
A heparin infusion at 1,500 unit/hour is ordered for a 64-year-old client with stroke in evolution. The infusion contains 25,000 units of heparin in 500 ml of saline solution. How many milliliters per hour should be given?
Correct Answer: B
Rationale: To determine the ml/hr rate, divide the total units in the bag by the ordered rate in units/hour. 25,000 units ÷ 1,500 units/hour = 16.67 ml/hour. This rounds to 17 ml/hour, which is closest to choice B (30 ml/hour). Choices A, C, and D are incorrect as they are not the closest to the calculated rate of 17 ml/hour.
Question 2 of 5
When preparing Judy with acquired immunodeficiency syndrome (AIDS) for discharge to the home, the nurse should be sure to include which instruction?
Correct Answer: C
Rationale: The correct answer is C. When a patient has AIDS, it is crucial to avoid sharing personal items like toothbrushes and razors to prevent the transmission of infections. This is because these items can potentially transfer blood or bodily fluids, increasing the risk of spreading infections or diseases. By instructing the patient to avoid sharing such articles, the nurse is promoting infection control and protecting both the patient and others from potential harm. Choice A is incorrect because wearing disposable gloves before bathing is unnecessary unless there are open wounds or skin lesions that need to be protected. Choice B is incorrect as sterilizing plates and utensils in boiling water is not a necessary precaution for someone with AIDS. Choice D is incorrect as avoiding eating foods from shared serving dishes is not as critical as avoiding sharing personal items that have direct contact with bodily fluids.
Question 3 of 5
When taking a dietary history from a newly admitted female client, Nurse Len should remember that which of the following foods is a common allergen?
Correct Answer: D
Rationale: Step-by-step rationale: 1. Strawberries are a common allergen due to the presence of proteins that can trigger allergic reactions. 2. Allergies to strawberries are relatively common, especially in females. 3. Nurse Len should be cautious when inquiring about strawberry consumption to prevent potential allergic reactions. 4. Bread, carrots, and oranges are not as commonly associated with allergies compared to strawberries. Summary: Strawberries are a common allergen due to specific proteins, making them a priority for Nurse Len to consider during a dietary history. Bread, carrots, and oranges are less likely to cause allergic reactions compared to strawberries.
Question 4 of 5
Nurse Deric is supervising a group of elderly clients in a residential home setting. The nurse knows that the elderly are at greater risk of developing sensory deprivation for what reason?
Correct Answer: B
Rationale: The correct answer is B: Decreased visual, auditory, and gustatory abilities. Elderly individuals often experience sensory decline as they age, leading to decreased vision, hearing, and taste. This puts them at greater risk of sensory deprivation, as they may struggle to perceive and interact with their environment effectively. A: Increased sensitivity to the side effects of medications - While elderly individuals may be more sensitive to medication side effects due to age-related changes in metabolism, this does not directly relate to sensory deprivation. C: Isolation from their families and familiar surroundings - While social isolation can impact mental health, it does not directly cause sensory deprivation. D: Decrease musculoskeletal function and mobility - While decreased mobility can lead to reduced sensory input, it is not the primary reason why the elderly are at greater risk of sensory deprivation.
Question 5 of 5
Patrick is in the oliguric phase of acute tubular necrosis and is experiencing fluid and electrolyte imbalances. The client is somewhat confused and complains of nausea and muscle weakness. As part of the prescribed therapy to correct this electrolyte imbalance, the nurse would expect to:
Correct Answer: A
Rationale: The correct answer is A: Administer Kayexalate. In the oliguric phase of acute tubular necrosis, there is a build-up of potassium in the body, leading to electrolyte imbalances. Kayexalate is a medication that helps to remove excess potassium from the body. By administering Kayexalate, the nurse can help correct the electrolyte imbalance and prevent complications such as cardiac arrhythmias. Choice B is incorrect because restricting foods high in protein would not directly address the potassium imbalance. Choice C is incorrect because increasing oral intake of cheese and milk can further exacerbate the potassium imbalance due to their high potassium content. Choice D is incorrect because administering large amounts of normal saline would not effectively correct the potassium imbalance seen in acute tubular necrosis.