ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
A male client with type 1 diabetes is scheduled to receive 30 U of 70/30 insulin. There is no 70/30 insulin available. As a substitution, the nurse may give the client:
Correct Answer: A
Rationale: The correct answer is A (9 U regular insulin and 21 U NPH) because it closely matches the ratio of 70/30 insulin (70% NPH and 30% regular insulin). Regular insulin acts quickly to cover mealtime needs, while NPH provides intermediate-acting basal insulin. Option B has a higher proportion of regular insulin, which may lead to hypoglycemia. Option C has a lower proportion of regular insulin, which may not cover mealtime needs adequately. Option D has an equal ratio of regular and NPH insulin, not mimicking the 70/30 insulin ratio.
Question 2 of 5
In an individual with Sjogren's syndrome, nursing care should focus on:
Correct Answer: A
Rationale: Sure! The correct answer is A: moisture replacement. In Sjogren's syndrome, there is a reduction in saliva and tear production, leading to dryness of the eyes and mouth. Moisture replacement helps alleviate symptoms, prevent complications like dental issues, and improve quality of life. Electrolyte balance (choice B) is not directly impacted by Sjogren's syndrome. Nutritional supplementation (choice C) may be helpful but is not the primary focus. Arrhythmia management (choice D) is not typically associated with Sjogren's syndrome.
Question 3 of 5
Nurse Tina prepares a client for peritoneal dialysis. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct first action is to warm the dialysate solution. This is crucial to prevent hypothermia and abdominal discomfort during the procedure. Warming the solution helps maintain the client's body temperature. Assessing for a bruit and a thrill (choice A) is important but not the first step. Positioning the client on the left side (choice C) is needed during the procedure but not the initial step. Inserting a Foley catheter (choice D) is not necessary for peritoneal dialysis.
Question 4 of 5
Ricardo, was diagnosed with type I diabetes. The nurse is aware that acute hypoglycemia also can develop in the client who is diagnosed with:
Correct Answer: C
Rationale: The correct answer is C: Type 2 diabetes. Acute hypoglycemia can occur in individuals with type 1 diabetes due to excess insulin or inadequate food intake. Type 2 diabetes, if treated with certain medications like insulin or sulfonylureas, can also lead to hypoglycemia. Liver disease (A) can cause hypoglycemia indirectly but is not directly related. Hypertension (B) and hyperthyroidism (D) do not typically cause hypoglycemia. In summary, type 2 diabetes is the correct answer as it can lead to acute hypoglycemia due to treatment with insulin or sulfonylureas, while the other choices are not directly associated with this condition.
Question 5 of 5
The nurse is ware that the most relevant knowledge about oxygen administration to a male client with COPD is
Correct Answer: A
Rationale: The correct answer is A because in COPD patients, administering low flow oxygen at 1-2L/min helps maintain the hypoxic drive for breathing without causing oxygen toxicity. This is crucial as these patients rely on hypoxia to stimulate their respiratory drive due to chronically elevated CO2 levels. Choice B is incorrect because hypercapnia, not hypoxia, stimulates the central chemoreceptors. Choice C is incorrect as a nasal cannula is more appropriate for oxygen administration in COPD patients due to the risk of CO2 retention with a non-rebreathing mask. Choice D is incorrect as pulse oximetry is used to monitor oxygen saturation, not blood gases.