ATI RN
Adult Health Nursing First Chapter Quizlet Questions
Question 1 of 5
A patient expresses dissatisfaction with the care received during their hospital stay. What is the nurse's best response?
Correct Answer: B
Rationale: The best response for a nurse when a patient expresses dissatisfaction with the care they received during their hospital stay is to listen actively to the patient's concerns, apologize for any shortcomings, and offer to address the issues. It is crucial for healthcare providers to acknowledge the patient's perspective, validate their feelings, and work towards resolving any issues that may have contributed to their dissatisfaction. This approach demonstrates empathy, professionalism, and a commitment to patient-centered care, fostering trust and effective communication between the patient and the healthcare team. Dismissing the patient's concerns (option A), ignoring their dissatisfaction (option C), or telling them that their concerns are unfounded (option D) can further escalate the situation and lead to a breakdown in the patient-provider relationship.
Question 2 of 5
A patient presents with delayed puberty, short stature, and a childlike appearance. Laboratory tests reveal low levels of growth hormone (GH) and insulin-like growth factor 1 (IGF-1). Which endocrine disorder is most likely responsible for these symptoms?
Correct Answer: D
Rationale: The patient mentioned in the scenario presents with delayed puberty, short stature, and a childlike appearance. These symptoms are indicative of growth hormone deficiency (GHD). GHD is a condition where the pituitary gland does not produce enough growth hormone, which is crucial for normal growth and development.
Question 3 of 5
A patient presents with a thyroid nodule and signs of compression such as difficulty swallowing and breathing. Fine-needle aspiration biopsy reveals lymphocytic infiltration and germinal centers. Which endocrine disorder is most likely responsible for these symptoms?
Correct Answer: A
Rationale: Hashimoto's thyroiditis is an autoimmune disorder characterized by chronic inflammation of the thyroid gland. In this condition, lymphocytic infiltration and germinal centers can be seen in the thyroid tissue. This inflammation can lead to the formation of thyroid nodules and enlargement of the thyroid gland, causing symptoms such as difficulty swallowing and breathing due to compression of surrounding structures. Additionally, Hashimoto's thyroiditis can result in hypothyroidism over time, further contributing to the symptoms. Therefore, the patient in this case is most likely experiencing these symptoms due to Hashimoto's thyroiditis. Graves' disease, on the other hand, typically presents with hyperthyroidism and is less likely to manifest as compressive symptoms of the thyroid gland.
Question 4 of 5
A patient presents with crushing chest pain that lasts longer than 20 minutes, diaphoresis, and dyspnea. An electrocardiogram (ECG) shows ST-segment elevation in the anterior leads. Which cardiovascular disorder is most likely responsible for these symptoms?
Correct Answer: C
Rationale: The patient is most likely experiencing an acute myocardial infarction (MI) based on the presentation of crushing chest pain lasting longer than 20 minutes, diaphoresis, dyspnea, and ST-segment elevation on the ECG. These symptoms are consistent with the classic presentation of an ST-segment elevation myocardial infarction (STEMI), which is a type of acute MI that is characterized by prolonged ischemia leading to myocardial cell death. In this case, the ST-segment elevation in the anterior leads indicates myocardial damage in the corresponding area of the heart supplied by the affected coronary artery. This is a medical emergency that requires urgent intervention to restore blood flow to the affected myocardium and prevent further complications.
Question 5 of 5
A patient presents with chest pain that occurs during heavy lifting or physical exertion and is relieved by rest. An electrocardiogram (ECG) may show transient ST-segment depression. Which cardiovascular disorder is most likely responsible for these symptoms?
Correct Answer: A
Rationale: The patient's symptoms of chest pain occurring during heavy lifting or physical exertion and being relieved by rest are classic characteristics of stable angina. Stable angina is caused by transient myocardial ischemia due to a fixed coronary artery obstruction. Typically, the pain is predictable and reproducible, occurring with exertion and relieved by rest. The transient ST-segment depression on ECG is also a common finding in stable angina, reflecting myocardial ischemia during episodes of chest pain.