ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?
Correct Answer: C
Rationale: The correct answer is C, the 55-year-old woman who is 50 lb overweight. Obesity is a major risk factor for obstructive sleep apnea (OSA) as excess weight can lead to airway obstruction during sleep. This increases the likelihood of pauses in breathing and disrupted sleep patterns. Pregnant women (choice A) may experience OSA due to hormonal changes but it is usually temporary. Gastroesophageal reflux disease (choice B) can exacerbate OSA but is not the primary risk factor. While type 2 diabetes (choice D) is associated with OSA, obesity is a more significant risk factor in this case.
Question 2 of 5
The nurse reminds a visitor to a patient who has an internal radiation implant to:Select all that do not apply.
Correct Answer: B
Rationale: Correct Answer: B - Take off all metals, such as your watch and belt. Rationale: 1. Metals can interfere with the radiation therapy and cause harm to the visitor. 2. Removing metals ensures there is no risk of them getting heated up due to radiation exposure. 3. This precaution helps in minimizing any potential hazards during the visit. Summary: A: Avoid visitation if you are pregnant - Incorrect. Visitors who are pregnant should definitely avoid contact with internal radiation implants. C: Limit your visitation time - Incorrect. There is no mention of limiting visitation time as a precaution for radiation exposure. D: Wear a protective lead apron - Incorrect. This is typically recommended for healthcare workers, not visitors.
Question 3 of 5
A patient who has atrial fibrillation is taking digoxin. The nurse expects which medication to be given concurrently to treat this condition?
Correct Answer: D
Rationale: The correct answer is D, Warfarin (Coumadin). Warfarin is commonly given concurrently with digoxin in patients with atrial fibrillation to prevent blood clots and reduce the risk of stroke. Digoxin helps control heart rate in atrial fibrillation but does not prevent clot formation. Choices A, B, and C are incorrect as they do not address the need for anticoagulation in atrial fibrillation. Hydrochlorothiazide is a diuretic, Inamrinone and Milrinone are inotropes used for heart failure, but none of these medications are indicated for anticoagulation in atrial fibrillation.
Question 4 of 5
The RN is analyzing serum laboratory results for a 73-year-old female client scheduled for surgery in 2 hours. The RN concludes that which result would warrant the most immediate notification of the physician?
Correct Answer: B
Rationale: The correct answer is B: Prothrombin time 22 seconds. This result indicates the client's blood clotting ability, crucial for surgery. A prolonged prothrombin time can lead to increased bleeding risk during surgery, requiring immediate physician notification. A: Potassium level within normal range, not urgent. C: Hemoglobin level slightly low but not immediately life-threatening. D: Creatinine level within normal range, not urgent for surgery.
Question 5 of 5
An active 32-yr-old male who has type 1 diabetes is being seen in the endocrine clinic. Which finding indicates a need for the nurse to discuss a possible a change in therapy with the health care provider?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure of 140/88 mmHg. This finding indicates a need for discussion with the healthcare provider because it suggests uncontrolled hypertension, which is a significant risk factor for cardiovascular disease in individuals with diabetes. High blood pressure can lead to complications such as heart disease, stroke, and kidney disease. A: Hemoglobin A1C level of 6.2% is within the target range for a person with diabetes, indicating good blood sugar control. B: A heart rate at rest of 58 beats/min is within the normal range for an active individual and is not a cause for concern. D: A high-density lipoprotein (HDL) level of 65 mg/dL is considered desirable and is a positive indicator for cardiovascular health.