ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
A negative peripheral pulse post cardiac catheterization indicates:
Correct Answer: A
Rationale: The correct answer is A: Clot formation on the femoral artery. A negative peripheral pulse post cardiac catheterization suggests impaired blood flow due to a clot in the femoral artery, affecting pulse palpation. Decreased oxygen on the foot (B) would not directly cause a negative pulse. Blood clots on the heart (C) would not be detected through a peripheral pulse assessment. Impending hemorrhage (D) would typically present with different signs such as hypotension or tachycardia, not a negative peripheral pulse.
Question 2 of 5
This refers to the stiffening of the body that occurs 2–4 hours after death.
Correct Answer: B
Rationale: Rigor mortis is the correct answer as it refers to the stiffening of the body post-death, typically occurring 2-4 hours after death. This process is due to the chemical changes in the muscles, causing them to become rigid. Algor mortis refers to the cooling of the body after death. Livor mortis is the pooling of blood in the lower parts of the body post-death. Manor mortis is not a recognized term in forensic sciences.
Question 3 of 5
When giving an I.M. injection, the nurse should insert the needle into the muscle at an angle of:
Correct Answer: D
Rationale: The correct angle for an I.M. injection is 90 degrees (straight in). This angle ensures proper medication absorption and minimizes tissue damage. Inserting the needle at 15, 30, or 45 degrees can lead to suboptimal drug delivery or cause pain and discomfort. It is crucial to follow evidence-based guidelines to administer injections safely and effectively.
Question 4 of 5
Nurse should recommend to their clients the avoidance of the habitual use of laxatives. Which of the following is the rationale for this?
Correct Answer: B
Rationale: The correct answer is B: It will cause chronic constipation. Habitual use of laxatives can lead to the bowel becoming dependent on them to function properly, causing chronic constipation when laxatives are stopped. This occurs due to the bowel becoming less responsive to natural stimuli for movement. Choice A is incorrect because fecal impaction is a risk of abrupt discontinuation of laxatives, not habitual use. Choice C is incorrect because laxatives typically do not significantly alter the pH of the gastrointestinal tract. Choice D is incorrect because laxatives do not inhibit intestinal enzymes but rather stimulate bowel movement.
Question 5 of 5
A client is admitted with frequent, loose stools. Prior to implementing orders to insert a Foley catheter, the nurse would first:
Correct Answer: A
Rationale: Step 1: Assess the client's condition and potential causes of frequent, loose stools. Step 2: Apply a fecal incontinence bag to contain and monitor stool output. Step 3: Monitor the effectiveness of the bag in managing stool output. Step 4: If necessary, implement further interventions based on assessment findings. Summary: - Option B: Performing perineal care is important for hygiene but does not directly address the issue of managing stool output. - Option C: Administering an antidiarrheal agent may mask symptoms without addressing the underlying cause. - Option D: Inserting a rectal tube is invasive and not typically indicated before trying less invasive interventions like a fecal incontinence bag.