ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
A nurse is assessing clients on a medical-surgical unit. Which adult client does the nurse identify as being at greatest risk for insensible water loss?
Correct Answer: B
Rationale: The correct answer is B. Anxious clients with tachypnea are at greatest risk for insensible water loss due to increased respiratory rate leading to increased water evaporation from the lungs. This results in higher water loss compared to other options. Clients taking furosemide (A) may experience increased urine output but it is not considered insensible water loss. Clients on fluid restrictions (C) would have decreased water intake but it is not insensible loss. Constipated clients (D) may have fluid imbalance but it is not related to insensible water loss.
Question 2 of 5
A nurse teaches a client who is at risk for hyponatremia. Which statement does the nurse include in this client’s teaching?
Correct Answer: B
Rationale: The correct answer is B: “Notify the clinic if you notice muscle twitching.” Muscle twitching can be a symptom of hyponatremia, which is a condition characterized by low sodium levels in the blood. The nurse should include this statement in the client’s teaching because it is important for the client to recognize and report this symptom promptly to prevent potential complications. Muscle twitching can indicate worsening hyponatremia and requires medical attention. Incorrect choices: A: “Have your spouse watch you for irritability and anxiety.” This choice focuses on emotional symptoms rather than physical symptoms of hyponatremia. C: “Call your primary health care provider for diarrhea.” Diarrhea is not a common symptom of hyponatremia; this choice is unrelated to the condition. D: “Bake or grill your meat rather than frying it.” This choice is unrelated to the prevention or management of hyponatremia.
Question 3 of 5
The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism of the left lower leg. Which action by the nurse is best?
Correct Answer: D
Rationale: The correct answer is D because elevating the thighs and lower legs above the heart level promotes venous return and reduces swelling in the affected leg, aiding in the prevention of complications related to venous thromboembolism. Placing one pillow under the thighs and two pillows under the lower legs ensures proper elevation and support. A: Placing the bed in Trendelenburg position isn't appropriate as it involves the head being lower than the feet, which could increase pressure on the lower extremities and potentially worsen the condition. B: Placing two pillows under the calf of the affected leg doesn't provide sufficient elevation for optimal venous return and may not effectively reduce swelling. C: Elevating only at the knee and placing pillows under both feet may not adequately elevate the lower extremities above heart level, limiting the effectiveness of venous return and swelling reduction.
Question 4 of 5
A nurse prepares a client for a pharmacologic stress echocardiogram. What actions would the nurse take when preparing this client for the procedure? (Select the one that does not apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. A central venous access device is not needed for a pharmacologic stress echocardiogram. 2. Continuous blood pressure and pulse monitoring are essential during the procedure. 3. Beta blockers may be administered to the client as part of the preparation. 4. NPO status is required to ensure accurate test results and to prevent aspiration. Summary: Choice A is incorrect because a central venous access device is not necessary for a pharmacologic stress echocardiogram. Choices B, C, and D are correct as they are essential steps in preparing a client for the procedure.
Question 5 of 5
Which information will the nurse include in the teaching plan for a patient newly diagnosed with asthma?
Correct Answer: D
Rationale: Step 1: Tremors as a side effect of rapidly acting bronchodilators are common due to their impact on the sympathetic nervous system. Step 2: Educating the patient about this side effect prepares them for what to expect and reduces anxiety. Step 3: This knowledge helps the patient differentiate between expected side effects and potential adverse reactions. Step 4: It is crucial for the patient to be informed about common side effects to ensure adherence to treatment. Summary: Choice D is correct because informing the patient about expected side effects like tremors is essential for treatment adherence. Choices A, B, and C are incorrect because they do not address crucial information related to side effects and proper inhaler technique for asthma management.